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STUDENT HANDBOOK

August 2014

he Student Handbook is published by


the American University of Antigua,
College of Medicine (AUA).

The rules and regulations outlined herein are


binding and must be adhered to by all AUA
students, including those on leave. The rules and
regulations of this institution are reviewed and
revised periodically. Students are expected to be
familiar with the most recent revisions of all AUA
manuals and publications, which can be found at
the AUA website.
Note* Although it is our intention to inform students
in advance of changes to curriculum, grading,
policies and procedures, the University reserves
the right to make such changes prior to revisions in
the handbook, when it is believed to be in the best
interests of our students. Students will be notified
when such changes take place through general
announcements, in classes, on BlackBoard and by
email.

AUA - August 2014 | 3

TABLE OF CONTENTS
INTRODUCTION

Academic Status

33

Message from the President

11

Good Standing

33

Mission Statement

12

Satisfactory Academic
Progress

33

Contact Information

15

POLICIES & PROCEDURES


Enrollment

18

Academic Degree Program

18

Technical Standards

18

Curriculum Components and


Courses

22

Academic

33

Financial Aid

34

Attendance

35

Basic Science

35

Clinical Science

35

Absences

37

Basic Science

38

Basic Science

22

Semester V

40

Clinical Science

22

Clinical Science

40

Degree Conferral

24

Withdrawal

41

Registration

25

Readmission

42

Refund Policy

27

Tuition and Fees

27

Student Financial Services

29

Academic Calendar

29

Transcripts

29

Family Educational Rights and


Privacy Act (FERPA)

30

Immigration: Entry to the U.S.

31

Examinations

44

Overview

44

Examination Policies

44

Basic Science

45

Block Examinations

45

Make-up Examinations

45

AUA - August 2014 | 5

INTRODUCTION

6 | AUA - August 2014

AUA - August 2014 | 7

MESSAGE FROM THE PRESIDENT


American University of Antigua
College of Medicine (AUA) was
established by prominent American physicians and hospital administrators to provide qualified
applicants the opportunity to receive an American medical education.
AUAs medical education program is modeled on those at
United States medical schools.
Unique among Caribbean medical schools, AUA is the only hospital-integrated medical school
within the Caribbean. Consistent with the new paradigm in
U.S. medical education, AUA
students commence clinical
exposure in their first semester at our hospital affiliate in St.
Johns, Antigua.
AUA is committed to offering a
quality Basic Science medical
education program that provides
students with experienced and
capable faculty, small classes

and the latest medical education technology.


In addition to providing students
with clinical opportunities at our
hospital affiliate, AUA has established clinical rotations for
its students at some of the finest
teaching hospitals in the United
States.
It is the Universitys mission and
my pledge as President to provide you with the best medical
education available and to ensure that you receive the education you require to achieve your
goal of becoming a successful,
well-respected, licensed physician.

Neal S. Simon
President, American University
of Antigua College of Medicine

AUA - August 2014 | 9

MISSION STATEMENT
American University of Antigua (AUA)
College of Medicine is dedicated to
providing a learner-centric education that meets the highest standards of academic excellence. The
University is committed to providing
students with the educational resources that will empower them to
become compassionate physicians,
life-long learners and leaders with
the knowledge and professionalism
required to address global health
care needs.
AUA College of Medicine is an active
participant in helping to meet the
health care needs of diverse communities in the United States and
globally. The University is committed
to breaking down barriers that have
prevented underrepresented minorities from obtaining medical education required for physician licensure.
AUA recruits talented students from
diverse cultural, ethnic, racial, social

AUA - August 2014 | 10

and economic backgrounds thereby


expanding access to limited opportunities to obtain a medical education
for individuals from diverse groups
that are presently underrepresented
in the medical profession.
AUA believes that its student body
receives a better medical education
due to its diverse student population.
AUA also provides students who may
have been educationally disadvantaged with the tools to address those
issues during their medical education.
While AUA believes that individual graduates have the right to and
should pursue whatever area of
medicine they wish to practice, AUA
does emphasize the need for, and
encourages, its graduates to become
well-qualified skilled primary care
physicians who will practice their
professions in underserved communities.

CONTACT INFORMATION
ADMINISTRATIVE SERVICES:
Manipal Education Americas - Agents for American University of Antigua

One Battery Park Plaza, 33rd Floor, New York, NY 10004


Telephone: (212) 661. 8899; 1.888.AUA.UMED (1.888.282.8633)
Fax: (212) 661.8864
Email:
info@auamed.org
Website:
www.auamed.org

ADMINISTRATIVE OFFICE ANTIGUA:


Main Campus, University Park, P.O. Box W1451, Jabberwock, Coolidge, St.
Johns, Antigua, WI
Telephone:
(268) 484-8900
Fax: (268) 484-8922/ 484-8923
E-Mail:
info@auamed.net
Website:
www.auamed.org

12 | AUA - August 2014

AUA - August 2014 | 13

POLICIES &
PROCEDURES

14 | AUA - August 2014

AUA - August 2014 | 15

VISUAL

ACADEMIC DEGREE PROGRAM

Students must be capable of acquiring academic information from


diverse media e.g. print, digital, graphic imaging, and video.

The four-year Doctor of Medicine degree is conferred upon students who satisfactorily complete the following requirements:

Students must be capable of using the clinical tools of the profession,


e.g. microscopes, sphygmomanometers, EKGs, products of digital
imaging and other visually oriented diagnostic procedures, tests.

1. Basic Sciences: An 18-week semester (Semester I), and 20-week


semesters (Semesters II- IV).

2. Semester V: A 17-week semester with 11 weeks of Basic Science

review, self-study and six weeks of clinical exposure (Semester V).

3. Clinical Sciences: 84 weeks of clinical core and elective rotations


(including six clinical weeks during Semester V) over six semesters
(Semester V - X).
4. United States Medical Licensing Exam (USMLE) Steps 1 and 2 CK &
CS.

TECHNICAL STANDARDS FOR ADMISSION, PROMOTION, AND


GRADUATION IN THE DOCTOR OF MEDICINE (MD) PROGRAM
The goal of every competent physician is the delivery of quality patient care as
characterized by the capacity to acquire and to use diverse and complex knowledge; application of relevant psychomotor and communication skills; exercise
of clinical judgment and decision-making based on evidence; and capacity to
critically evaluate both patient outcomes and personal clinical performance.
Applicants must be capable of functioning in high intensity, stressful environments both academic and clinical. To these ends, applicants must be capable
of meeting the physical, psychosocial, and emotional demands of an academic medical curriculum in anticipation of encountering similar demands in the
practice of medicine.
16 | AUA - August 2014

ORAL/AUDITORY
The language of instruction is English. Students must be fluent in
English.
Students must be capable of interacting, both verbally and in writing,
with patients, faculty, and health care staff in an effective, sensitive
and timely manner (i.e. must be able to speak, hear and write clearly).
Students must be capable of effectively communicating the findings
of an examination to patients and, as required, to other members of
the health care team.
Students must be able to use the techniques of the profession in conducting a physical examination, e.g. auscultation, palpation, percussion.

MOTOR, STRENGTH AND MOBILITY


Students must possess the precision (fine motor skills) strength and
stamina (gross motor function) necessary to conduct common diagnostic procedures (e.g. sigmoidoscopy) and physical interventions
(e.g. CPR, surgery, intubation, establishing central lines and IVs)
commonly used in the profession.
Students must be capable of participating actively in classroom,

AUA - August 2014 | 17

ENROLLMENT

ENROLLMENT

ENROLLMENT

The technical standards required are:

laboratory and clinical settings over extended periods of time.

SENSORY

Students are expected to be capable of establishing sensitive,


professional relationships with patients
Students are expected to learn, grow, and become effective members
of the health care team.

COGNITIVE

ENROLLMENT

ENROLLMENT

Students must possess tactile and olfactory abilities appropriate for


the care of patients, e.g. palpation.

preference, and other personal characteristics.

Students must be capable of self-directed, self-motivated learning


and information gathering.
Students must be capable of assimilating, analyzing and synthesizing
information in a timely fashion for use in solving clinical problems.
Students must be capable of analyzing, interpreting and reasoning in
a timely fashion for the purpose of solving clinical problems
In interactions with patients and colleagues, students must reasonably
be expected to exercise good judgment and common sense consistent
with the ethical expectations of the medical profession.

SOCIAL
Students must possess the perseverance, diligence, and consistency
necessary to complete the medical curriculum and enter independent
practice of medicine.
Students are expected to be capable of receiving and responding
appropriately to feedback, both positive and negative.
Students are expected to have the social skills to interact effectively
with patients and colleagues.
Students are expected to possess cultural sensitivity that is respectful
of patients and colleagues race, religious beliefs, ethnicity or national
origin, creed, color, age, marital status, sexual orientation, gender

18 | AUA - August 2014

AUA - August 2014 | 19

CURRICULUM COMPONENTS
AND COURSES

BASIC SCIENCE
Human Structure and
Function I
Foundations of Medicine I
Biochemistry I
Medical Cell Biology
Integrated Medical Education I
Evidence-Based Medicine
Basic Life Support

SEMESTER II
Human Structure and
Function II
Foundations of Medicine II
Biochemistry II / Genetics
Integrated Medical Education
II

SEMESTER III
Behavioral Science and
Medicine I
Introduction to Clinical
Medicine I
Microbiology I / Immunology
Pathology I
Pharmacology I
Integrated Medical Education
II
20 | AUA - August 2014

ELECTIVE CLERKSHIPS

Behavioral Science and


Medicine II
Introduction to Clinical
Medicine II
Microbiology II
Pathology II
Pharmacology II
Integrated Medical Education
IV
Advanced Cardiac Life Support

A student selects from a variety of


disciplines, including subspecialties
of the core clerkships and medical
research.

SEMESTER V
This semester focuses on the integration of knowledge gained from the
Basic Science subjects with clinical
medicine. It is structured into three
mandatory components of 11 weeks
and six weeks, respectively: (1) Basic
Science review course on the Basic
Science campus in Antigua; (2) selfstudy; and (3) clinical exposure.

CLINICAL SCIENCE
SEMESTER VI - X
CORE CLERKSHIPS
Internal Medicine (12 weeks)
Surgery (8 weeks)
Psychiatry (6 weeks)
Obstetrics and Gynecology (6
weeks)
Pediatrics (6 weeks)
Family Medicine (6 weeks)

STEP 1
A student takes Step 1 after (1) completing and passing Semester V and
(2) receiving a minimum required
score on the Comprehensive Basic
Science Shelf Exam (CBSSE). However, the scheduling is tied specifically to passing the CBSSE. Consequently, a student must submit the
USMLE application with a window of
eligibility to start as soon as possible
after successfully achieving a minimum certifying score on the CBSSE.
The window of eligibility is a three
(3) month period. For example, if the
student passes the CBSSE in early
August, the three month window of
eligibility is September through November.
A student who fails Step 1 three (3)
times within one year after achieving
a passing score on the CBSSE may
be dismissed from the University by
the Promotions Committee. This dismissal is not subject to appeal.
USMLE APPLICATION
SUBMISSION
To register for Step 1, all matriculated
AUA students who sit for the CBSSE

must achieve the required certifying


score of 72, or its equivalent.
STEP 2 CK (CLINICAL
KNOWLEDGE)
All students may register for certification on Step 2 CK after completing
the six required core clerkships and
passing the Comprehensive Clinical
Science Examination (CCSE). A student who fails Step 2 CK three times
may be dismissed from the University by the Promotions Committee.
This dismissal is not subject to appeal.
Any student who wishes to apply for
the Step 2 CK, must present a qualifying score of 76 on the Comprehensive Clinical Science Examination
(CCSE). Any student whose approved
window lapses without an attempt
is subject to the current minimum
passing score at the time they apply
for a new window on the CCSE.
The CCSE will allow you to assess
your clinical knowledge and will
help you to prepare for USMLE Step
2 CK. Securing a qualifying score of
76 on the CCSE will indicate that you
should be ready to register for and
pass USMLE Step 2 CK after additional studying. The following rules
and procedures apply: In order to be
certified by the Registrars Office to
register for USMLE Step 2 CK, a student has to submit a qualifying score
AUA - August 2014 | 21

ENROLLMENT

ENROLLMENT

SEMESTER I

SEMESTER IV

ENROLLMENT

a. Students must request the


USMLE Certified Transcript
of Scores for USMLE Step
1, Step 2 CK and CS from
ECFMG to be submitted to
the Associate Vice President for Academic Administration and Graduate Affairs in the AUA New York
Office as part of the degree
audit;

STEP 2 CS (CLINICAL SKILLS)


After completing and passing the
core clerkships and passing USMLE
Step 2 (CK), a student can register to
take Step 2 CS. A student who fails
Step 2 CS three times may be dismissed from the University by the
Promotions Committee. This dismissal is not subject to appeal.

DEGREE CONFERRAL
To satisfy the requirements for graduation and to secure a medical diploma, a student must comply with the
below criteria:
1. Complete and pass all requirements of the Basic Science
component;
2. Complete and pass all requirements of the Clinical Science
component, to include all core
and elective rotations;
3. Pass USMLE Step 1 and Step 2
CK and CS;

22 | AUA - August 2014

4. Fulfill all financial and bursar responsibilities assuring a


zero balance;
5. Maintain good standing.
AUA students have the opportunity to complete the requirements for
the MD degree at five different points
throughout the year. Consequently, students will be considered AUA
graduates on one of the five graduation dates after which they have
completed their graduation requirements. Students completing all MD
requirements between:
1.
2.
3.

July 1 and September 30, xxxx


will receive a diploma dated
September 30, xxxx
October 1 and December 31,
xxxx will receive a diploma dated December 31, xxxx
January 1 and March 31, xxxx
will receive a diploma dated
March 31, xxxx

4.
5.

April 1 and the Commencement


Ceremony Date will receive a
diploma dated per the Commencement Ceremony Date
All days after the Commencement Ceremony Date to June
30, xxxx will receive a diploma
based on the date of MD graduation requirement completion

Graduates cannot receive a copy of


their diploma prior to the diploma
date and final degree audit clearance.
Once your graduation date has
passed and the final degree audit is
complete, diplomas for all graduates
will be mailed to the address provided
in your student record.
For further information regarding
graduation, please contact the
Registrars Office at registrar@
auamed.org.

REGISTRATION
REGISTRATION INFORMATION
All students must register before
classes begin each term. It is
important that a student has
all
identification
documents
in possession at registration.
Submission of all official transcripts
is a requirement for continued
attendance at the University.

Outstanding documents may result


in Administrative Withdrawal.
An AUA identification card is
distributed to each student during
registration and students are
required to carry the card at all times
on campus and in clinical-related
environments. Students are also
required to present the ID card when
requested to do so by University
officials.
A student who is not officially
registered for the semester will not
be permitted to attend classes.

BASIC SCIENCE
New Students registration takes
place at the Antigua campus. New
students must have appropriate
documentation and the acceptance
letter in possession at registration.
New students may also utilize the
online registration process.
Returning Students will be required
to register for all Basic Science
semesters utilizing the online
registration process. Students will
receive an email approximately
four weeks prior to the end of their
current semester informing them
of the online registration availability
dates. Since online registration is a
requirement, a $500 penalty will be
AUA - August 2014 | 23

ENROLLMENT

on the CCSE. The qualifying score on


the CCSE is 76 which reflects a score
of 215 on the CK exam. Please note
that the current passing score of CK
is a score of 209. A student can sit
the CCSE after attending at least four
core rotations; there is no limit on
the number of attempts. The CCSE
will not factor in any grade; it serves
as a qualifying exam only.

ENROLLMENT

registration can be directed to


registrar@auamed.org
and
any
technical issues with the online
registration system should be
directed to helpdesk@auamed.net.

Online Registration is mandatory


and must be completed within the
window of time that is established
and published in emails to students
before each new term. Be advised,
tuition accounts must be confirmed
as settled (see Tuition and Fees) prior
to receiving clearance to complete
Online Registration. Students are
advised to settle tuition accounts
well in advance (allow 4-5 days) of
the close of Online Registration so
that payment can be confirmed.

Information
regarding
Clinical
Science registration (Semesters VI
X) is delivered via postal mail in
addition to email and/or BlackBoard.
Each Clinical Science student is then
contacted by the assigned Clinical
Coordinator regarding clerkship
placements.

After
completing
the
online
registration
process,
students
need to bring the confirmation
clearance forms that are generated
from successfully completing the
online registration process, to the
Registrars Office on island to receive
their semester sticker.
Any

questions

24 | AUA - August 2014

about

online

SEMESTER V
Semester V Family Medicine I/
Internal Medicine I (FM I/IM I)
registration takes place at the
respective Semester V FM I/IM I
training site.

CLINICAL SCIENCE

In order for a student to be registered,


(1) all relevant documents must have
been submitted to and received
by the Associate Vice President
for Academic Administration and
Graduate Affairs in the AUA New York
Office, and (2) tuition accounts must
be settled by the pre-registration
due date.
The following policies are in effect:
Registration will be closed five (5)
working days after the start of the
semester.
Generally, students will not be

registered after that deadline.


However, students who have a
pending financial aid situation will be
allowed to register with a conditional
registration status until the financial
aid situation has been resolved.

given according to the following


schedule**:

Please refer to the Universitys


website (www.auamed.org), under
the Curriculum tab, for the specific
dates of registration. Contact the
Associate Vice President for Academic
Administration and Graduate Affairs
in the AUA New York Office for further
information and other questions
regarding registration.

2. Official withdrawal after the


start of classes until the withdrawal deadline: The credit
adjustment will be prorated
based on the withdrawal date.
Only base tuition will be prorated; all other applicable fees
are non-refundable.

REFUND POLICY

3. Official withdrawal after the


withdrawal deadline: There
are no refunds.

Refunds are only given for tuition, only


when students officially withdraw,
and a credit balance condition
results from the appropriate
tuition adjustment. Refunds are
not given for Leaves of Absence.
Before any refund can be initiated, a
withdrawal form must be completed
and submitted to the Registrars
Office in Antigua for Basic Science
students. Clinical Science students
in Semesters VI through X, should
contact the Registrars Office in
the AUA New York Office for proper
forms. For Clinical Science students,
cancellation fees may apply for
previously scheduled rotations not
attended.
Tuition credit adjustments will be

1. Official withdrawal prior to the


first day of class: Credit adjustment for 100% of tuition.

**The semester seat deposit of $500


USD is excluded from this refund.

TUITION AND FEES


Tuition and fees must be paid in full at
registration unless accompanied by a
written exemption authorized by the Bursar.
The entire balance, including housing,
transportation and health insurance, must
be paid, or Financial Aid approved in order

to register for classes.


Tuition accounts will be considered
settled by:
Making Full payment (Bursar
receipt must be confirmed
see Acceptable Methods
AUA - August 2014 | 25

ENROLLMENT

applied to your AUA student account


if you elect not to register online
during the specified availability
dates. For those students who have
not been cleared to utilize the online
registration process (e.g. students in
the re-test period or students under
review by promotion), they will be
required to register in-person, on
island, during registration date(s)
detailed on the academic calendar,
which can be viewed on the AUA
website.

of Payment below)
Enrolling in a new payment
plan and making first
payment.
Securing a new student loan

Wire transfer
Bank draft/Money Order/
Personal check
ACH Check
If you are not applying for Financial
Aid, but paying directly, payment can
be made by check at registration
or payment can be sent prior to
registration to:
American University of Antigua
P.O. Box 9481
Uniondale, NY 11555-9481
Attn: Bursars Office

FINANCIAL OBLIGATION
Students are required to acknowledge
and agree to the following financial
obligation terms statement:
I understand and agree to make
full payment for all amounts owed
to American University of Antigua
pursuant to the completion of
the Doctor of Medicine program,
including but not limited to tuition,
fees, insurance, housing, and other
miscellaneous charges that may
become due. I understand that
26 | AUA - August 2014

Acknowledgement and agreement to


the terms statement above is done
as part of the Online Registration
process. Students who register
in person will be required to sign
before being cleared to complete
registration.

LATE PAYMENT
Late fees on past due amounts will
be assessed monthly based on the
table below:
$1,000 - $5, 000 past due =

$100 late fee

$5,000 - $10,000 past due = $150 late fee


$10,000 - $15,000 past due = $200 late fee
$15,000 - $20,000 past due = $250 late fee

STUDENT FINANCIAL
SERVICES
For detailed information regarding
available loan programs, please
contact the Student Financial
Services Department at 1-877-6669485 or 212-661-8899, option 4. The
department fax number is 1-646-4176220.
Student
Financial
Services
Counselors can be reached at
extensions 154 and 287. Management
counselors can be reached at
extension 157 (students with last
names beginning with A-L) or
extension 159 (students with last
names beginning with M-Z).
The Director of Student Financial
Services can be reached at extension
156.

THE ACADEMIC CALENDAR


The academic calendar, including
registration
information
and
schedule, is posted on the Universitys
website at www.auamed.org and
BlackBoard.
The University reserves the right to
revise the academic calendar.

TRANSCRIPTS
To protect confidentiality, a student
must submit a Transcript Request
form and payment of $10 USD
either by U.S. money order or
personal check, payable to American
University of Antigua, to the Bursar
Departmentin the AUA New York
Office for an official transcript.
A request for an official transcript
release cannot be honored if
administrative
documents
are
missing or if a student is in financial
arrears.
Upon receipt of the Transcript
Request form and payment, Assistant
Registrar in New York will process
the request accordingly and within
the business week.
For transcript requests to institutions
overseas, a student will be notified
of the appropriate overseas postal
costs, which are to be incurred by the
student.
A Basic Science student can receive
a student (unofficial) copy of his/her
transcript from the Registrars Office
in Antigua. A Clinical Science student
must submit a written request for
a copy of his/her transcript to the
Registrars Office in the AUA New
York Office.
AUA - August 2014 | 27

ENROLLMENT

ENROLLMENT

Acceptable Methods of Payment

failure to make full payment will


jeopardize my ability to continue to
attend classes and may result in
late payment fees being added to my
account. I further understand and
agree that if I withdraw from AUA I
am still responsible for any unpaid
balance, and that continued nonpayment will result in my account
being placed in collections with
all reasonable collections costs,
including attorney fees and other
charges, becoming due and payable.

The University adheres to the


mandates of the United States Family
Educational Rights and Privacy Act
(FERPA):
1. The student has the right to
inspect and review his educational record within 45 days of
the University receiving a written request for access. Students must submit this written request to the Associate
Vice President for Academic
Administration and Graduate
Affairs identifying the records
they wish to inspect, who will
then notify the students of the
time and place where the record may be inspected.
2. Students have the right to request an amendment to his/
her educational records. Students may write to the Associate Vice President for Academic Administration and Graduate
Affairs to identify the part of
the record they wish to have
corrected and specify why it is
inaccurate.
3. If the University decides not
to make the requested amend
ment, it notifies the student of

28 | AUA - August 2014

his/her right to a hearing. The


University provides additional
information about the hearing
with the notification.

records without consent to officials


of another school in which a student
seeks to enroll or attend.

4. The student has the right to


consent to disclosures of personally identifiable information
contained in his/her educational record, except to the extent
that FERPA authorizes disclosure without consent.

The University may disclose the


following directory information
without prior approval from the
student: Name, address and
telephone number; date and place
of birth; dates of attendance, and
honors and awards.

One exception is disclosure to school


officials with legitimate educational
interest. A school official is a
person employed by the University
in an administrative, supervisory,
academic, research or support
position (including law enforcement
personnel and health staff); a person
or company with whom the University
has contracted (such as an attorney,
auditor, or collection agent); a person
serving on the Board of Trustees;
or a student serving on an official
committee, such as the Professional
Standards or Grievance Committee,
or assisting another school official in
performing his/her tasks.

A student who does not wish to


have the above information released
must advise the school in writing
accordingly. A FERPA form must be
filed with the Registrars Office.

A school official has a legitimate


educational interest if she/he needs
to review an educational record in
order to fulfill his/her professional
responsibility. Upon request, the
University may disclose directory
information
from
educational

INFORMATION TO BE DISCLOSED

IMMIGRATION - ENTRY TO
THE UNITED STATES
If you require a visa to Semester
V or complete clinical rotations
in the United States, it is your
responsibility to plan accordingly
and to apply far enough in advance
to secure one. Foreign medical
students (those who are neither
U.S. citizens nor lawful permanent
residents of the United States) must
obtain a B-1 Nonimmigrant Visa
from a U.S. Embassy or Consulate
prior to entering the U.S. in order
to begin their clinical training. The
Foreign Affairs Manual (FAM), which
is a part of the regulation of the
U.S. Citizenship and Immigration

Services, contains a special provision


for foreign medical students who are
neither U.S. citizens nor permanent
residents to enter the U.S. for clinical
training in B-1 nonimmigrant status.
The FAM states that an alien may be
classified as a B-1 business visitor if he
or she is a student at a foreign medical
school and is coming to participate
in an elective clerkship at a U.S.
medical schools hospital, without
remuneration from the hospital, as
part of the foreign medical school
education. An elective clerkship is
defined as practical experience and
instruction in the various disciplines
of the practice of medicine under the
supervision and direction of faculty
physicians.
Some students, such as Canadian
citizens, are exempt from the visa
requirement. All such international
students, however, are required to
document the reason for their visit
to the United States to officers of the
U.S. Customs and Border Protection
upon their entry to the United States.
Canadian students should request
an immigration and hospital letter
from the Registrars Office as proof
of documentation.
Please note that AUA is not
responsible for obtaining your visa
for you. It is up to each student who
requires a visa to enter the United
AUA - August 2014 | 29

ENROLLMENT

ENROLLMENT

FAMILY EDUCATIONAL
RIGHTS AND PRIVACY ACT
(FERPA)

This said, the Registrars Office


(registrar@auamed.org), at your
request, will provide you with
an immigration packet to the
appropriate consulate at which you
have an appointment. Our strong
recommendation is that you should
apply for a visa at a U.S. Embassy or
Consulate in the country in which you
are a citizen. The experience from
students who have previously applied
for a visa outside their home country
is that students have gotten denied
or granted a short-term visa which
will expire long before they complete
their clerkship experience. This has
proven to be particularly true in cases
in which students who are not citizens
of Antigua and Barbuda or of another
country that is served by the U.S.
Consul in Barbados apply for their
visas to that Consul. In these cases,
the result is typically an outright
denial of the visa. It is recommended
to apply early to provide enough time
for the consular officer to review
your application and to accomplish
any special clearances that may be
required.
Please keep in mind that immigration
regulations are ever changing and can
be complex. While it has been AUAs
experience that those of its students
who require a visa and who follow

30 | AUA - August 2014

our advice generally are granted


their visas, AUA does not guarantee
or represent that every student who
applies for a visa will be granted one.
There have been occasions when
even students of AUA who follow our
advice and recommendations have
been denied visas.

ACADEMIC STATUS
GOOD STANDING
A student remains in good standing
by complying with all academic
standards, policies, and regulations
established by AUA and by satisfying
all financial obligations to the
University or its affiliated lender. A
student is not in good standing if they
fall in the following categories: (1)
academic probation; (2) professional
probation; or (3) not meeting financial
obligations.

The University reserves the right to


withhold services, transcripts and
certifications from a student who is
not in good standing.

SATISFACTORY ACADEMIC
PROGRESS
A student achieves Satisfactory
Academic Progress by sustaining
an acceptable level of academic
performance within a specified time
frame.

component in no more than six


(6) semesters and passing all
coursework while on academic
probation.
2. Obtaining
the
minimum
required certifying score on
the Comprehensive Basic
Science Shelf Exam within the
number of allowed attempts.
The
maximum
permitted
time window for obtaining
the
minimum
certifying
score on the Comprehensive
Basic Science Shelf Exam
is (six) 6 months following
commencement of the Basic
Science Review Course (BSRC).
3. Passing Step 1 in no more than
three (3) attempts within one (1)
year after becoming eligible.
4. Maintaining
standing.

good

academic

The following criteria constitute


Satisfactory Academic Progress
(SAP) in Basic Sciences:
1. Completing
the
required
courses of the Basic Sciences

AUA - August 2014 | 31

ACADEMIC STATUS

ENROLLMENT

States for his or her clinical training


to obtain the appropriate visa.

The following criteria constitute


Satisfactory Academic Progress
(SAP) in Clinical Sciences:

2. Completing the M.D. program


in its entirety within 312 weeks
or six (6) calendar years of
attendance;
3. Maintaining good academic
standing.
.
A student not in compliance with
Satisfactory Academic Progress
may be subject to dismissal.

SATISFACTORY ACADEMIC
PROGRESS FOR FINANCIAL
AID ELIGIBILITY
A student must comply with the requirements of Satisfactory Academic Progress
(SAP) to be eligible to receive financial aid.
In order for the University to determine
student eligibility for financial aid, a review
and assessment of a students academic
achievement is conducted.

BASIC SCIENCE
To be eligible for a loan, a student must
successfully pass each course or take no
more than one re-test per semester when
re-tests are offered.
Students cannot receive a loan if repeating

32 | AUA - August 2014

SEMESTER V
Students must successfully pass all required courses from Basic Sciences to be
eligible for a loan.

CLINICAL SCIENCE
SEMESTERS VI-X

The standard by which the University evaluates a students achievement in clinical


instruction Semesters VI - X is the attainment of a passing USMLE score and the
clerkship evaluations. A student will not
be eligible for a loan for repeating a failed
clinical rotation.

ATTENDANCE
BASIC SCIENCE
A student is expected to attend all
scheduled classes, lectures, small
groups and laboratory sessions. The
student is also expected to complete
all exercises, quizzes and examinations, and attend all conferences
during the Basic Science component
of the students medical education.
A student is expected to attend 100%
of all lectures, laboratories and
small group exercises to facilitate
learning. However, as emergencies
may arise, a maximum of 20% permitted absences is designed to accommodate such emergencies and
other unforeseen circumstances or
circumstances beyond the students
control. Thus, a minimum of eighty
percent (80%) attendance is mandatory for all lectures and one-hundred
(100%) percent attendance is mandatory for all laboratory sessions,
tutorials, and interactive lectures
and sessions. A student who fails to
maintain these attendance requirements will not be eligible to take
block and final exams. Absences in a
course can affect the final grade in a
negative way.

In addition, a student is responsible


for making up all missed assignments, regardless of the reason
for the absence. In certain courses
where sequential skills are taught, a
student who does not attend all sessions must make arrangements with
the professor to make up missed
sessions and coursework.
If a student fails to take an examination, the grade is 0 for that exam
unless approval of absence is granted by the Dean of Students.
An excused absence may be granted
only due to exceptional circumstances that can be adequately documented to the satisfaction of the Dean of
Students.
If a student has prior knowledge of
exceptional circumstances that will
cause the student to miss an examination, the student must notify the
Dean of Students and provide appropriate documentation supporting the
reasons prior to said examination.

CLINICAL SCIENCE
Students are expected to be in attendance one hundred percent (100%)
of the time during all clinical rotations. Although the Clinical AttestaAUA - August 2014 | 33

ATTENDANCE

ACADEMIC STATUS

1. Completing the 84-weeks


Clinical Science component
within 120 weeks;

a semester or when two or more courses


have been re-tested during a semester.
After successful completion of the repeated semester, a student can apply for a
loan the following semester. However, no
more than one remedial course may be
taken to be eligible for a loan.

ATTENDANCE

Students failing to report to a clinical clerkship to which they have been


assigned or taking an unauthorized
absence during clerkship rotations
may be dismissed from the clerkship
and receive a failing grade.
It is the students responsibility to inform his/her Clinical Coordinator as
soon as possible of any changes. Additionally, recipients of financial aid
must inform their Student Financial
Services Counselor, because financial aid is determined according to
the initial scheduling of students rotations.
A student will incur the cost of any
cancellation fees for (a) failing to appear for the first day of a scheduled
34 | AUA - August 2014

rotation or (b) canceling scheduled


rotations after the Letter of Good
Standing has been issued, and may
be charged for the rotation.
The University expects students to
observe and comply with all rules
and regulations mandated by the
participating hospitals.
Because the scheduling of rotations
is handled by the Clinical Department, students must not contact
AUA-affiliated hospitals to schedule
clerkships.
Students who have an opportunity to
participate in a clinical clerkship in a
hospital that is not affiliated with AUA
may be allowed to participate in such
a clerkship. However, prior to doing
so, they must contact the Clinical
Department so that an evaluation of
the hospitals educational program
can be made to determine whether
or not it meets AUAs standards for
clinical clerkship sites.
A student who participates in a clerkship at a non-affiliated setting without
prior permission from AUA will not
be considered an AUA student while
doing so and will not receive credit
for the clerkship. Furthermore, neither the student nor the hospital will
be covered under the AUA clinical
clerkship insurance policy.

Please refer to the Universitys Clinical Rotations Guideline for more details.

ABSENCES AND LEAVES


GENERAL LEAVE
(LOA) GUIDELINES

OF

ABSENCE

Achieving the goal of Doctor of Medicine demands a great deal of time


and attention. Many components of
a medical education program cannot be made up or remediated. Interruptions during the educational
schedule will create undesirable
breaks in the continuous learning
process, which will be of concern to
medical licensure boards, and can
affect financial aid eligibility and loan
repayment status. Medical students
will frequently be required to make
tough choices concerning the competing demands of educational and
personal interests, therefore serious
thought and consideration are appropriate before making a decision
to request a LOA from the program.
In general LOAs are to be requested for extraordinary circumstances,
where significant and unavoidable
conflicts have developed requiring
a leave from the program. Students
are advised to consult with the Dean
of Students to discuss plans for any

interruption of their studies prior to


making a formal request. The number of days in approved Leaves of
Absence status is not to exceed 180
days in any twelve month period.
Three Types of Leave of Absence:
A Partial Semester LOA begins at a point in time during
a semester and remains in effect to the end of that same
semester.
A Temporary LOA begins at a
point in time during a semester, but can only be in effect for
a maximum of two weeks. Students are expected to make up
any activity missed during their
Temporary LOA. Certain restrictions will apply.
A Semester LOA begins at the
end of a completed semester and
continues through the next contiguous calendar semester after
which the student can return to
start the semester.
Any deviation from the points above
will result in an Administrative Withdrawal. Students given an Administrative Withdrawal will need to reapply.
AUA - August 2014 | 35

ATTENDANCE

tion form and the Clinical Guidelines


reinforce the requirement for 100%
attendance in all clinical rotations,
the fact is, emergent situations do
come up. If for some reason a student is excused for a period of time
by his/her preceptor, he/she needs
to inform the clinical coordinator and
send a letter approving the absence
from the preceptor or attending
along with the make-up dates listed. Otherwise, it will appear that the
student has abandoned a rotation.
This will also eliminate any issues
with evaluations and the number of
weeks being credited to the clerkship requirements.

GENERAL PROCEDURE FOR REQUESTING A LEAVE OF ABSENCE


FOR BASIC SCIENCES 1 - 4


Students must obtain and
complete a Request for Leave of
Absence Application form, stating specific reasons and return
date, and submit to the Dean of
Students. Final approval must be
received and granted in writing
by the Dean of Students.
When applying for a Leave of
Absence, the student must indicate when he or she intends
to resume studies. If the student does not resume his or her
studies on the date indicated on
his or her application, or if the
combined absences exceeds 180
days in a one year period, he or
she will be administratively withdrawn retroactive to the last date
of attendance before the Leave
of Absence
The student may not be on academic probation and may not
be failing any course (including block exams) at the time of
application. A student who has
received any failing grades from
36 | AUA - August 2014

Students who are repeating a


semester are on academic probation and are thus not eligible
to take a Leave of Absence
A student who is granted a leave of
absence must provide written documentation supporting the stated
need for the leave and under certain
circumstances, may have to satisfy
other previously set conditions prior
to their return to classes.
Upon return to AUA from a Leave of
Absence students must:
Present hard copy documentation to the Dean of Students (1
week prior to returning to Antigua) that sufficiently substantiates the original reason for the
LOA request.
o If the provided documentation is considered insufficient the student may be
given extra time to provide
additional documentation or
the LOA may be disapproved
by the Dean of Students. In
the latter case the student
is considered to have been
on an unauthorized LOA (see
section on Unauthorized

Leave of Absence). If documentation is not provided or


not deemed sufficient upon
return, the LOA will turn into
an Administrative Withdrawal (ADWD) by the Dean of
Students.
A student who takes a Leave of Absence (LOA) is not permitted to enroll
at another medical school and take
Basic Sciences courses for credit
during the time of the LOA from AUA.
Any student who wishes to take Basic Science courses for credit at another medical school must withdraw
from AUA. At a later date, the student
may apply for readmission to AUA by
following the procedure for transfer
applicants. It is at the discretion of
the Admissions Committee to accept
or deny transfer credits.

Ultimately the Dean of Students has


complete discretion to give or deny
the final approval for all LOA requests. Under extreme circumstances a temporary LOA not exceeding
two weeks may be granted by the
Dean of Students.
GRADING DURING A LEAVE OF ABSENCE
Students who are granted a Leave
of Absence during a semester and
who do not complete the semester,
will receive a grade of INC for that

semester and must repeat the semester, from the point with which
they left. If any exam grades were recorded prior to the students Leave
of Absence, those grades will be factored into the subsequent semester.
Any student who applies for a Leave
of Absence but received any failing
grades for their block exams must
withdraw from the University.

EFFECT OF A LEAVE OF ABSENCE


ON TUITION ACCOUNT
Refunds are not given for Leaves of
Absence.
Partial Semester LOA:
A Partial Semester LOA that has
been approved by the Dean of Students will have no effect on tuition
account balances. Any account
balance at the time of an approved
LOA is still due and payable and late
fees will apply until the account is
paid in full. If the student is in good
academic professional standing
when the Dean of Students approves their partial semester LOA,
the tuition will roll-over to the
following semester. Non-tuition
charges, such as insurance, bus
service, parking permits, etc., will
be posted when appropriate and
will be due prior to the start of the
semester in which the student returns.
Temporary LOA:
A Temporary LOA that has been apAUA - August 2014 | 37

ATTENDANCE

ATTENDANCE

For AUA College of Medicine students in the Basic Science program,


a student who requests a Leave of
Absence must meet the criteria established below:

their block exams cannot request an LOA and must withdraw


from the school (see section on
Withdrawals)

Semester LOA:
A Semester LOA that has been approved by the Dean of Students will
have no immediate effect on the
students tuition except that late
fees will apply to any outstanding
balance until the account is paid in
full.
SEMESTER V LEAVE OF ABSENCE
A student may apply for a Leave of
Absence prior to registering for Semester V or after the completion of
the Basic Sciences Review Course
(BSRC). If the Leave of Absence
starts before the start date of the
BSRC the request for approval of the
leave must be submitted to the office of the Dean of Students on the
Antigua Campus. If the leave of absence starts after completion of the
BSRC the request for approval must
be submitted to the Associate Vice
President for Academic Administration and Graduate Affairs in New
York.
38 | AUA - August 2014

CLINICAL SCIENCE LEAVE OF ABSENCE (CLOA)


During Clinical Sciences, a CLOA can
begin after a rotation has been completed and only then. Upon return,
a student must resume rotations at
the specified time. A student who
does not return from a CLOA at the
specified time is administratively
withdrawn from the University as of
the last day of attendance of the particular clinical rotation.

UNAUTHORIZED LEAVE OF ABSENCE


Unauthorized Leave is defined as
a student-initiated leave from AUA
or overstay of an approved leave of
absence without going through the
proper protocol.
Students who are on an unauthorized
leave of absence may not receive consideration for missed coursework,
exams, quizzes, etc. In all cases the
student will be administratively withdrawn from the program or university. Students wishing to return to
AUA after an unauthorized Leave of
Absence must apply for readmission. The past performance of these
students will be reviewed by the Readmission Committee to determine
whether they can be readmitted, and
if so under what conditions (such as
academic probation).

WITHDRAWALS
COURSE/MODULE WITHDRAWAL
As the curriculum is integrated withdrawal from individual modules is
not permitted.

STUDENT WITHDRAWAL FROM AUA


A student must complete a Withdrawal Form, which is obtained from
the Registrars Office.
A student must secure all the appropriate clearances and signatures
from the Registrar, Bursar, Deans,
and the Librarian.
A student must then apply for readmission if they wish to return to
AUA, and will be subject to the tuition
policy for withdrawals and university refund policy. Readmission is not
guaranteed but applications will be
reviewed by the Readmission Committee. Readmitted students will
typically be subject to all academic
policies and tuition and fees in effect
at the time of re-enrollment, without any grandfathering provisions
based on their original admission.
Student withdrawals are governed by
the following policies:
Students may not withdraw
from a single course during a
semester; they must withdraw
completely from AUA.


Students withdrawing from
AUA before all block 1 exams
would receive a grade of W for
all enrolled courses. If a student
withdraws after any block exams, the student would receive a
grade of WF (withdraw failing)
or WP (withdraw passing) in
each enrolled course.
Refunds, if required, will be
determined by the last date of
attendance (last date of reported
attendance or academic-related
activity).
Students who receive WF in
any course at the time of withdrawal will be reviewed by the
Readmission Committee to determine whether they are eligible for readmission.
o Students who were failing one or more courses at
the time of withdrawal will
be put on academic probation if they are readmitted.
Any student who applies for a
Leave of Absence but received
any failing grades for their block
exams must withdraw from the
University.

REFUND POLICY
Refunds are only given for tuition and
only when students officially withAUA - August 2014 | 39

ATTENDANCE

ATTENDANCE

proved by the Dean of Students will


have no immediate effect on the
students tuition except that late
fees will apply to any outstanding
balance until the account is paid in
full.

draw and a credit balance condition


results from the appropriate tuition
adjustment. Refunds are not given
for Leaves of Absence. Official withdrawal forms can be obtained from
the campus Registrars office. Clinical students should contact the New
York Registrar for proper forms. For
Clinical Students, cancellation fees
may apply for previously scheduled
rotations not attended.

Official withdrawal prior to the


first day of class Credit adjustment for 100% of tuition
Official withdrawal after the
start of classes Pro-rated credit adjustment for tuition based on
the percent of time not attended after the official date of withdrawal. There will be no tuition
credits after 60% of the semester has passed.

ADMINISTRATIVE WITHDRAWAL
Note: The enrollment status of Administratively Withdrawn means that
the affected individual is no longer a
student at the University.
The Registrar enters an Administrative Withdrawal on a students record
when:

40 | AUA - August 2014

2. A student does not return by


the time specified in an approved leave
3. A student fails to register for
the following semester;
4. A student fails to obtain a certifying score on the Comprehensive Basic Science Shelf
Examination within six months
of completion of Semester V
and without having reached or
exceeded the maximum number of allowed attempts

tee through the AUA New York Office


following the established procedure.
Readmission is not guaranteed.
However, if a student is readmitted,
the student is subject to all academic
policies, tuition and fees which are in
effect at the time of re-admission.
A student who is ineligible for readmission will not be considered by the
Admissions Committee.
For further information, contact the
Associate Vice President for Academic Administration and Graduate
Affairs in New York.

ATTENDANCE

ATTENDANCE

Tuition credit adjustments will be


given according to the following:

1. A student leaves AUA after a


semester ends and before the
next one begins without applying for and receiving approval
for an Academic Leave of Absence;

5. A student obtains a certifying


score on the Comprehensive
Basic Science Shelf Examination but fails to pass Step
1 within one year of becoming
eligible without having reached
three attempts at Step 1;

READMISSION
A student who has been administratively withdrawn, or has filed a student withdrawal and who wishes to
continue his/her medical education
at AUA must formally apply for readmission to the Admissions CommitAUA - August 2014 | 41

EXAMINATIONS
OVERVIEW
All course grades mandated and implemented by AUA are maintained by
the Associate Dean for Evaluation.

The faculty is responsible for informing the students about the grading
system, policies, and test schedules
during the first week of each semester.

EXAMINATION POLICIES
1. AUA IDs: Students must present a valid AUA Student ID. A
student without a valid student
ID will not be permitted to sit
for AUA Exam(s).
2. Cell Phones: A student must
turn off the cell phones before
entering AUA Exam(s) room. A
cell phone remains in the student bag or carry case or with
the Examination Chief Proctor
to avoid any communication or
photographic use/purposes

42 | AUA - August 2014

during an examination. If a
student turns on a cell phone
or a students cell phone rings
during an exam, the cell phone
will be confiscated by Examination Chief Proctor, who is
permitted to assume that this
is for the purpose of cheating.
The student will be asked to
leave the Exam Room and receive a grade of zero (0) for the
examination.
3. Electronic devices: No electronic devices, including iPADs, iPODs and other MP3 and
MP4 players with recording capability, are allowed in the Examination Room. If any student
is found with an electronic device of this kind, the electronic
device will be confiscated, the
student will be asked to leave
the Exam Room. The student
will receive a grade of zero (0)
for the examination.
4. Food or Beverage: One (1) bottle of water per student is allowed in the examination room.
5. Writing Tools: Students pencils and pens will not be permitted in the exam room; the

6 Watches will not be allowed in


the exam room.
7. Hats: A student wearing a hat
with a brim will not be permitted into the Examination Room.
8. Scantron Signature: A student
must sign the scantron sheets
in the appropriate location.
9. Student ID number: A student
is to enter his/her AUA Student
ID number on the scantron
sheets after the 0s. For example: 000059111 in order to fill all
necessary spaces.
10. Illness: A student who is ill prior to any exam must notify the
Dean of Students. A student
who is ill on the day of an exam
should see the physician in the
AUA Student Health Center for
evaluation. In the absence of a
physician in the Student Health
Center, the student may present another physicians excuse, although that excuse
will need to be approved by the
physician in the AUA Student
Health Center.

BASIC SCIENCE
BLOCK EXAMINATIONS
Summative examinations are usually
given three times a semester within
all courses. The minimum acceptable score for a Block Examination
will be 70%.
MAKE-UP EXAMINATIONS
Students will be permitted to makeup Block Examinations dependent
upon approval. Make-up exams will
only be allowed for students with an
approved excuse or Leave of Absence
granted prior to missing a scheduled
Block Examination. This exam will be
similar to, but not the same as the
original Block Examination.
Students who begin an examination
and become ill, or are otherwise unable to complete the examination,
or who have inadequate documentation of why they were late, or miss
an examination, MAY be granted the
opportunity to have a make-up examination if approved by the Dean of
Students. In these cases their score
will be capped at 70%.
Make-up exams will not be granted
under the following circumstances:
1. Students who arrive late or
otherwise miss a scheduled

AUA - August 2014 | 43

EXAMINATIONS

EXAMINATIONS

The grading system for each course


will appear in the course syllabus,
which will be published on BlackBoard.

Examination Chief Proctor will


provide pencils for the exam(s).

exam without an approved


Leave of Absence.
2. Students who want to re-take
an exam to improve their
score.
3. Students with a perceived distraction during an exam. Students should inform proctors
of said distractions during the
exam for correction.

EXAMINATIONS

The Basic Science Comprehensive


Examinations (BCSE) are external
examinations given at the end of the
second and fourth semester to test
comprehensive knowledge of basic
science learning until that period
of time. These examinations will be
worth 10% of all course grades. The
other 90% of the final average will
be the weighted average (see course
syllabi for details) of all Block Examinations for each course. All other
course pass/fail requirements must
be passed in order for a student to receive a passing grade in any course.
The 10% BSCE will be weighted as
follows:
68 (passing score for Kaplan BSCE)
68 = 10
66 = 9
44 | AUA - August 2014

SEMESTER V
COMPREHENSIVE BASIC SCIENCE
SHELF EXAMINATION (CBSSE)
Currently a minimum certifying score
will be 72 (NBME-scaled score), or
68% (Kaplan).
Students have six months from the
completion of the Basic Science Review Course component of Semester
V to achieve a minimum certifying
score.
Students will have a maximum of
five (5) specified attempts to achieve
the minimum required score on the
Comprehensive Basic Science Shelf
Exam. Students who obtain the minimum certifying score or higher on
their first or second attempt are encouraged to take the exam again for
practice purposes. Note that a prior
minimum certifying score will certify
the student regardless of the scores
received on subsequent attempts.
Students are required to sit for this

exam prior to the beginning of the


Basic Science Review Course in Antigua, and at the end of the Basic Science Review Course. If the student
does not achieve a certifying score
within these two attempts, the student will be allowed a total of three
additional attempts at the Comprehensive Basic Science Shelf Exam, to
be taken within six months following
the completion of the Basic Science
Review Course.
If a student chooses not to take any
of the two mandated Comprehensive Basic Science Shelf Exams (see
above), the student will not be allowed to substitute the missed exam/s at a later date. In other words,
these exam opportunities will be lost.
Students may not sit for the NBME
Comprehensive Basic Science Shelf
Exam until they have successfully passed the Basic Science Review
Course.
Students must be aware of the following:
A student who reaches the maximum
number of attempts at the Comprehensive Basic Science Shelf Exam
(see above) and does not obtain the
minimum required score for USMLE
Step 1 certification may be dismissed
from the University by the Promotions Committee. The Promotions

Committee issues a dismissal letter


to the student. The student has the
right to appeal the dismissal to the
Appeals Committee.
If the appeal of dismissal is granted,
the student will be reinstated and
may be allowed one additional attempt at the Comprehensive Basic
Science Shelf Exam within a three (3)
month time period and on the basis
of other conditions as outlined in the
letter issued by the Executive Dean
in response to the appeal.
If the appeal of dismissal is denied
the student is not eligible to apply
for readmission through the Admissions Committee
Students who do not obtain a certifying score at the Comprehensive Basic Science Shelf Exam AND who do
not reach the maximum number of
permitted attempts at the Comprehensive Basic Science Shelf Exam
within six months after completion
of the Basic Science Review Course
will be administratively withdrawn
from the University. A student who
has been administratively withdrawn
has the right to apply for readmission and, if granted readmission, will
be offered the opportunity to retake
the examination (within a time line
that will be specified by the Admissions Committee).
AUA - August 2014 | 45

EXAMINATIONS

BASIC SCIENCE COMPREHENSIVE


EXAMINATION

64 = 8
62 = 7
60 = 6
58 = 5
56 = 4
54 = 3
52 = 2
50 = 1
<50 = 0

The New York Registrar Department


works with NBME to offer the Comprehensive Basic Science Shelf Exam
and the Comprehensive Clinical Science Shelf Exam every month. The
fee for each sitting of the Comprehensive Basic Science Shelf Exam or
the Comprehensive Clinical Science
Shelf Exam is $150.00. Students
must register for the CBSE or CCSE
no later than the 15th of the month
prior to the window they are requesting to sit for the exam. There will be
no exceptions. By use of Prometric,
students will sign-up for the exam
(after getting registered by the AUA
Registrar) at a Prometric Testing
Center closest to their current city
location.
To sign up for the Comprehensive
Basic Science Shelf Exam or the
Comprehensive Clinical Science
Shelf Exam, a student must pay the
sitting fee of $150.00 US through the
NY Bursar Department by calling
212.661.8899 OPTION 6 and using either a Credit Card (Visa or MasterCard
ONLY), Bank Check or Money Order
(personal checks are not accepted).
Once the sitting fee has been paid,
students will forward to Ms. Kristal
Booth (kbooth@auamed.org ) a copy
46 | AUA - August 2014

of their paid receipt via e-mail along


with the following information:
1. Full Name and AUA ID Number
2. Date of Birth
3. AUA Email Address
4. Phone Number
Once a student is confirmed as
PAID, the Registrar will review the
students records to determine if
they are eligible for the Comprehensive Basic Science Shelf Exam or
the Comprehensive Clinical Science
Shelf Exam
If the student is deemed eligible, they will receive an
EMAIL CONFIRMATION that a
correspondence has been sent
to NBME confirming them for
a two-week window to take the
Comprehensive Basic Science
Shelf Exam or Comprehensive
Clinical Science Shelf Exam. The
2-week testing window will fall
during the middle of the month.
The student will then receive a
follow-up email requesting them
to pick a prometric test site and
a date within the given window.
The student will receive an ID
Test Number. Only students
who receive this email confirmation will be eligible to sit for the
exam.
If a student is deemed to not

be eligible to sit for the Comprehensive Basic Science Shelf


Exam (based on exceeding number of attempts; passing their eligibility period; not signing up for
the exam by the deadline date;
etc.), or the Comprehensive Clinical Science Shelf Exam, they will
receive an email explaining that
they are not able to sit for the
exam and any steps that need to
be followed

ment because of high call volume.


Students SHOULD NOT wait until the
last day of registration to register. If
a student does not pay their $150 deposit by 2pm EST on the 15th of the
month prior to the exam, they must
wait until the next available Comprehensive Basic Science Shelf Exam
or Comprehensive Clinical Science
Shelf Exam sitting.

The last date to have paid the $150


sitting fee and sign up for Comprehensive Basic Science Shelf Exam or
the Comprehensive Clinical Science
Shelf Exam is 2pm eastern time on
the 15th of the month prior to the actual sitting. For example, if a student
wants to sit for the exam in January,
they must register no later than 2pm
eastern time on December 15. After
this date and time any student who
wishes to cancel their sitting will forfeit their $150 registration fee.

Once certified to sit for Step 1, students have a total of three attempts
at Step 1 and they must pass the
exam within one year of achieving the
minimum required certifying score
on the Comprehensive Basic Science
Shelf Exam.

Payments WILL ONLY be accepted


until 2pm Eastern Standard Time
on the 15th (after 2pm, the window
locks and no further sitting fees will
be accepted). If a student waits until the last day of registration to register for the Comprehensive Basic
Science Shelf Exam or the Comprehensive Clinical Science Shelf Exam
(the 15th of the month), they may not
get through to the Bursar depart-

STEP 1

UNITED STATES MEDICAL LICENSING EXAM (USMLE) STEP 1

The Registrars Office closely monitors the time frames mandated by


the University and the scores of all
students on the Comprehensive Basic Science Shelf Exam and Step 1.

A student will be certified to sit for


Step 1 at the time s/he has obtained a
certifying score on the Comprehensive Basic Science Shelf Exam. The
student must apply to sit for Step 1
within a three month window that begins the month following the date s/
he has obtained the certifying score.
A student will have one year after
AUA - August 2014 | 47

EXAMINATIONS

EXAMINATIONS

REGISTERING FOR THE COMPREHENSIVE BASIC SCIENCE SHELF


EXAMINATION (CBSSE) AND THE
COMPREHENSIVE CLINICAL SCIENCE SHELF EXAMINATION (CCSE)

CLINICAL SCIENCE

Students who do not pass Step 1 on


the first or second attempt will receive a written notification (warning)
from the Registrars Office, reminding them of the total number of attempts they have, indicating the allowable timeline to pass the exam
and providing information on any
assistance that is made available by
the University to improve their test
scores.

Upon achieving a minimum certifying


score on the Comprehensive Basic
Science Shelf Exam a student submits the USMLE application on-line,
sends the Certification Statement to
the AUA New York Office, and selects
a three-month window following the
date of obtaining the certifying score.

Students who do not pass Step 1 on


the third attempt may be dismissed
by the Promotions Committee. A
student who has been dismissed for
having failed Step 1 three times is not
eligible to appeal the dismissal. The
student is also not eligible to apply
for readmission.
Students who fail to pass Step 1, have
not taken Step 1 three times, and
who reach the end of the one year
period of eligibility after achieving
a minimum certifying score on the
Comprehensive Basic Science Shelf
Exam will be administratively withdrawn from the University. In order
to continue their medical education
the student must apply for readmission.
48 | AUA - August 2014

CERTIFICATION OF THE USMLE APPLICATION

The Educational Commission for


Foreign Medical Graduates (ECFMG)
interactive web application, IWA, is
the only version of the application
materials available on the website
for Step 1, Step 2 CK & CS.
COMPREHENSIVE CLINICAL SCIENCE SHELF EXAMINATION (CCSE)
All students who wish to apply for the
Step 2 CK must present a qualifying
score of 76 on the Comprehensive
Clinical Science Examination. A student can sit the CCSE after attending
at least four core rotations; there is
no limit on the number of attempts.
The CCSE will not factor in any grade;
it serves as a qualifying exam only.
USMLE STEP 2 CLINICAL KNOWLEDGE (CK)
Step 2 CK is utilized to assess the
ability of a student (while under supervision) to apply medical knowl-

edge and understanding of clinical


science to patient care in order to
promote health and prevent disease.
A student takes Step 2 CK during the
period of clinical clerkships after
having completed the required clinical training and achieving the certifying score on the CK CCSE.
Students must have completed all six
required core clerkships and passed
the CCSE exam with a score of 76 or
higher to be certified to sit for Step 2
CK.
In order for AUA to confer the M.D.
degree upon a student, the student
must pass Step 2 CK within two calendar years of becoming eligible in
no more than three attempts.
USMLE STEP 2 CLINICAL SKILLS
(CS)
Step 2 CS is utilized to assess a
students ability to take a patients
medical history, to perform a physical examination, compose a differential diagnosis, and to write up the
encounter. Additionally, the test includes an evaluation of a students
ability to communicate in English effectively. A student must pass Step
2 CS within two calendar years of
becoming eligible in no more than
three attempts.
A student is required to take Step 2

CS during the final year of medical


studies. To be certified to sit for Step
2 CS, the student must have completed all core clinical clerkships
and passed the Step 2 CK exam.
In order for AUA to confer the M.D.
degree upon a student, the student
must pass Step 2 CK and CS within
two calendar years of becoming eligible in no more than three attempts.
A students leave of absence to prepare for the exam is not permitted to
exceed twelve (12) weeks.

TESTING
ACCOMMODATIONS
AUA recognizes the right of students
with certified disabilities to appropriate test access and accommodations.

PURPOSE OF TESTING ACCOMMODATIONS


The purpose of testing accommodations is to enable students with disabilities to participate in assessment
programs on an equal basis with
their non-disabled peers. Testing
accommodations provide an opportunity for students with disabilities to
demonstrate mastery skills and attainment of knowledge without being
limited or unfairly restricted due to
the effects of the disability.
AUA - August 2014 | 49

EXAMINATIONS

EXAMINATIONS

achieving a certifying score on the


Comprehensive Basic Science Shelf
Exam to sit for and pass Step 1.

Testing accommodations promote


the access of students with disabilities to assessment programs. Testing accommodations should not be
excessive and should alter the standard administration of the test to the
least extent possible.
Testing accommodations are neither
intended nor permitted to:

2. Provide an unfair advantage


for students with disabilities
over students taking tests under standardized conditions.
3. Substitute for knowledge or
abilities that the student has
not attained.
Students with disabilities are eligible
for test accommodations determined
on an individual basis. This includes
any quizzes or examinations taken
during the semester in conjunction
with an academic class.
Usual testing accommodations provided at AUA include:
1. Up to double time for quizzes
and examinations.

50 | AUA - August 2014

3. A proctor remaining in the


testing area.
Additional accommodations may be
provided as determined on an individual basis by University Counseling
Services.

PROCEDURES FOR REQUESTING


TESTING ACCOMMODATIONS
The procedures for requesting testing accommodations are as follows:
1. Students requesting accommodations must notify and
bring their documentation to
University Counseling Services.
Appropriate
documentation
that indicates the disability and
need for testing accommodations must be on file with University Counseling Services.
2. Notification of the appropriate
accommodations will be provided to the Course Director,
Exam Center, and the Educational Enhancement Department by the Director of University Counseling Services.

3.

Students should discuss with


each Course Director their intent to use testing accommodations for quizzes and tests at
the beginning of each semester.

Note:
A student with disabilities has the
right to privacy and confidentiality regarding his/her disability. Instructors
will be informed about the need for
a student to have testing accommodations but not his/her documented
disability. Instructors and proctors
should not ask a student why he/she
needs testing accommodations, nor
disclose the names of the students
requiring testing accommodation to
other parties (especially other students).

PROCEDURES FOR PROVIDING


TESTING ACCOMMODATIONS
While the documentation of a students disability and determination
of the appropriate, reasonable accommodation are responsibilities of
University Counseling Services, accommodations will be provided and
administered by the Educational Enhancement Department (EED).
Tests are to be scheduled on the
same day and time they are given in
class unless otherwise approved by
the Exam Center.

The Exam Center is responsible for


coordinating the following:
1. A quiet, low-distraction location for the test.
2. A proctor for the test
3. Private, confidential dissemination of the location to students with testing accommodations.
Students are responsible for the following:
1. Being prompt and on-time for
tests. Students who arrive after the scheduled seating time
will not be permitted to sit for
the examination.
2. Adhering to the Universitys
Honor Code. Students suspected of academic dishonesty
will be referred for disciplinary
action.

REQUESTING TESTING ACCOMMODATIONS FOR USMLE STEP 1


Students who are interested in getting testing accommodations for the
USMLE Steps must have a history of
using testing accommodations for
their Basic Science courses.
AUA requires documentation from
University Counseling Services that
AUA - August 2014 | 51

EXAMINATIONS

EXAMINATIONS

1. Alter the construct of the test


being measured or invalidate
the results.

2. A quiet, low-distraction environment.

students were approved for testing accommodations and have used


testing accommodations as part of
their coursework in the Basic Sciences.

If a student requires testing accommodations for the Clinical Core Subject Shelf Examination (CCSSE), he/
she must have prior documentation
on file with University Counseling
Services that indicates the disability and need for testing accommodations. Students who need testing
accommodations for the CCSSEE
must have a history of using testing
accommodations for their Basic Science courses.
If a student requires these accommodations for testing, he/she must
email registrar@auamed.org no later than one week from the scheduled
start date of your current clinical rotation. If you do not request testing
accommodations within one week
from your core rotation start date,
accommodations cannot be made. It
is mandatory to email a request for
testing accommodations every time
a student is scheduled for a core rotation.
52 | AUA - August 2014

ministration and Graduate Affairs in


the AUA New York Office.

USMLE CERTIFIED TRANSCRIPT OF SCORES

Students are required to sit for the


USMLE Step 1 as soon as eligible.

All USMLE scores, passing and failing, must be submitted in hard copy
to the Associate Vice President for
Academic Administration and Graduate Affairs in the New York administrative offices. Phoned-in reports
or incomplete reports will not be accepted.

Students must request from ECFMG


that the USMLE Certified Transcript
of Scores for USMLE Step 1, Step 2
CK and CS (form 172) be submitted to
the Associate Vice President for Academic Administration and Graduate
Affairs in the AUA New York Office.

To be certified, a student must be


in good standing and have met all
AUA financial obligations. Furthermore, to be certified to sit for Step
1 a student must obtain the current
minimum required certifying score
on the Comprehensive Basic Science
Shelf Exam.
A student who has passed Step 1
and requests to be placed in clinical
clerkships must submit a copy of the
USMLE score report and complete
performance profile to the Associate
Vice President for Academic Administration and Graduate Affairs in the
AUA New York Office.

EXAMINATIONS

EXAMINATIONS

REQUESTING TESTING ACCOMMODATIONS FOR CCSSE

CERTIFICATION FOR USMLE STEPS 1 AND 2

If a student fails either Step 1 or Step


2, the Executive Dean of Clinical Sciences and the Associate Vice President for Academic Administration
and Graduate Affairs will review the
students performance to determine
if remediation is required before the
student retakes the examination.
Students requesting certification to
retake the examination must submit
a copy of their previous USMLE score
report and transcript to the Associate Vice President for Academic AdAUA - August 2014 | 53

GRADING SYSTEM
COURSE GRADES
At the end of each semester, a students overall academic performance is
evaluated based on examinations and all other course requirements. The
following grading system is used for course grades. Please refer to the course
syllabus for additional details.
QUALITY POINTS

H-

90 100%:

Honors

4.0

HP -

80 90%:

High Pass

3.0

P-

70 79%

Pass

2.0

F-

Below 70%

Failing

INC -

Incomplete

IP -

In Progress

PNC -

Pass No Credit

R-

Course repeated in subsequent semester

W-

Withdrawal without current semester grades available

WP -

Withdrawal with current passing semester grades

WF -

Withdrawal with current failing semester grades

One F grade per course will be


forgiven when and if the student

subsequently achieves a passing


grade for the course. In such cases,
the F grade will be replaced by
an R grade that will have zero
credit value and a zero quality point
value for the purpose of calculating
the students GPA. An R grade
denotes a failed course that has
been repeated and subsequently
passed.

GRADING SYSTEM

GRADING SYSTEM

GRADE

All grades are assigned by academic


departments according to methods
described in the respective course
syllabi. Any questions or concerns
that a student has regarding exam
scores during the semester before
the Promotions Committee meeting
are to be directed to the respective
Course Director.

The University offers two full semesters in a calendar year. Credits are
recorded in semester hours. In the clinical program, one credit represents one
week of clinical rotations.

54 | AUA - August 2014

AUA - August 2014 | 55

GUIDELINES FOR PROMOTION


AND DISMISSAL
CRITERIA
1. A student must achieve a
score of 70% or above in all
courses, pass all course requirements to be promoted to
the next semester. The final
average in a course will be the
average of Block Exams (see
course syllabus for specific
details). In semesters 2 and 4,
10 % of the course average will
be from the performance on
the BSCE (see Examinations).
Courses may require pass/fail
grades for additional activities
(see course syllabus for specific details).
2. Professionalism will be evaluated on a pass/fail basis (attendance, participation, etc.).
Students should be apprised
of expectations and counseled twice if they are failing
professional expectations. On
the third episode, he/she may
receive an F for professionalism, resulting in failing the
course.

56 | AUA - August 2014

4. A student who receives an


aggregate (weighted mean)
score of less than 55% may be
dismissed, even if the student
passes one or more courses
5. A student may be dismissed
for failing all registered courses regardless of their aggregate (weighted mean) score.
6. Students (in Semesters I-III)
with a final grade between
65-69%, failing in no more
than two courses, and are not
on academic probation may
be eligible to re-test for the
final exam(s). The only course
grades awarded following a
re-test will be F or P. Retests must be completed prior
to the commencement of the
next semester.
7. Any student failing any courses may be required to repeat
the semester to ensure proper
academic preparation.

9.

Due to the integrative nature


of the material in Semester
IV, re-tests are not permitted during Semester IV. Any
student who fails a course in
Semester IV will be required to
repeat the entire semester.
A student who receives an
aggregate (weighted mean)
score of 55% or less following
re-tests may be dismissed.

10. A student who receives a score


below 70% on any re-test must
repeat the entire semester and
will be placed on Academic
Probation during the duration
of that semester.
CLINICAL SCIENCE

Please refer to the Universitys


Clinical Rotations Guideline for more
details.
PROMOTION TO CLINICAL SCIENCES
To be promoted from the Basic
Science component to the Clinical
Science component and to be able to
enter into clinical clerkship rotations,
a student must comply with the
following:
1. A student who fails any component of Semester V is placed

on academic probation by the


Promotions Committee and
must repeat that component.
2. A student who fails a clinical clerkship must repeat the
clerkship and will be placed
on academic probation by the
Promotions Committee.
3. A student who fails the same
clerkship twice may be dismissed. This action is not subject to appeal.

ASSIGNMENT & ARRANGEMENTS


OF CLERKSHIPS
All assignments and arrangements of
core and elective clinical clerkships
are handled through the Universitys
Clinical Science Administration only.
The Clinical Coordinators contact
students, discuss the scheduling
options and details, and disseminate
all appropriate information. This
process begins after all required
documentation has been provided
by the student and his/her file is
complete.
Required documentation: in order to
be placed in clinical rotations students
must submit all required documents.
A list of required documents can be
found on BlackBoard and is part
of the Clinical Guidelines. It is the
sole responsibility of the student to
provide the required documents to
AUA - August 2014 | 57

GUIDELINES FOR PROMOTION & DISMISSAL

GUIDELINES FOR PROMOTION & DISMISSAL

BASIC SCIENCE

3. Students must pass all components of a course to receive


a P in the course.

8.

the University and to automatically


update documentation as required.

REPORTING OF USMLE SCORES

FAILING A CLERKSHIP
A student failing a rotation must meet
with the respective Clinical Chairs to
review his/her performance.
1. If a student fails a core clerkship, the core must be repeated in order to continue in the
program.
2. If a student fails an elective
clerkship, the same elective is
repeated or another elective
with the same number of credits may be taken.
A student who fails any clinical clerkship will be placed on academic probation until they have successfully
repeated the previously failed rotation. A student who fails the same

58 | AUA - August 2014

ACADEMIC PROBATION
BASIC SCIENCE

2. A student who fails a clinical clerkship must repeat the


clerkship and will be placed
on academic probation by the
Promotions Committee.
3. A student who fails the same
clerkship twice may be dismissed. This action is not subject to appeal.

1. Students that take a re-test for


a course, or who repeat a semester are on academic probation until he/she successfully
completes the next semester.

PROMOTIONS COMMITTEE

2. Students on academic probation will be required to work


with and follow recommendations from the Educational Enhancement Department.

All matters related to the promotion


of students fall under the jurisdiction
of the Universitys Promotions Committee, which is comprised of senior
faculty.

3. Any student who fails a course


while on academic probation
may be subject to dismissal.

The Promotions Committee Chair


enacts decisions made by the Promotions Committee. The Committees decisions may be appealed to
the Appeals Committee which reviews the students appeal and submits its recommendation to the Executive Dean for the final decision.

CLINICAL SCIENCE
1. A student who fails any component of Semester V is placed
on academic probation by the
Promotions Committee and
must repeat that component.

At the end of each semester, when


all grades are final, the Promotions
Committee reviews all grades and
either promotes those students who
have not failed a course or recommends academic probation and/or
dismissal of students who have not
passed all courses.

All official communication from the


Registrars Office will be directed only to students AUA email accounts. The Promotions Committee
sends letters of dismissal to the student at the students registered address. The Registrars Office sends
grade reports and letters regarding
course failures and academic probation (as email attachments) to the
students registered AUA email address. A student is responsible for
ensuring that his/her correct mailing
and email addresses are registered
with the Registrars Office.
Actions of the Promotions Committee are final unless modified on appeal.

APPEALS COMMITTEE
If a student does not understand or is
not satisfied with a Promotions Committee action, the student has the
right to appeal. The deadline for receipt of appeals is seven (7) calendar
days after grades or other pertinent
information regarding the academic
standing of the student are communicated to the student.
If, for any reason, a student is not
able to access the grade report, the
student is responsible for contacting
the Chair of the Appeals Committee at appeals@auamed.net prior to
the first day of registration. To avoid
AUA - August 2014 | 59

GUIDELINES FOR PROMOTION & DISMISSAL

GUIDELINES FOR PROMOTION & DISMISSAL

The student is responsible for


submitting a readable copy of the
(a) scores of Step 1, Step 2 (CK),
and Step 2 (CS) score as well as (b)
Performance Profiles of each of
these examinations to the Associate
Vice President for Academic
Administration and Graduate Affairs.
Sending this information to another
department of the University is not
acceptable.

rotation twice or any other rotation


while on academic probation may be
subject to dismissal.

All appeals must be forwarded to the


Appeals Committee using the electronic form attached to the official
grade report. A student may also
address procedural questions to the
Committee using the committees
email (appeals@auamed.net). However, only appeals received using the
required form will be considered for
action.
While processing the student appeal,
the Committee may request additional information or an interview. It
is important that the student provide
the current AUA email and phone
contact information in the appeal.
The Appeals Committee looks for
well-documented evidence of extenuating circumstances, illness or
family emergency during the semester. Post hoc documentation (a doctors note detailing sickness or illness during an examination) will be
considered; however, this may not be
60 | AUA - August 2014

very helpful if the documentation is


dated after the date of the examination.
Note that, although the appeal is received and managed by the Appeals
Committee, acceptance or denial
will be decided upon by the Executive
Dean only. The Committee receives
and investigates appeals, then forwards the appeal along with a recommendation to the Executive Dean.
Depending on the type of appeal, and
based upon the case review, the Appeals Committee makes a recommendation to the appropriate Dean
(see below), who is the sole arbiter
rendering the final decision.
The final decision on the appeal will
be communicated to the student by
the Deans office in writing. The decision of the Executive Dean cannot
be appealed.
TYPES OF APPEALS
A student has the right to appeal under the following circumstances or
conditions:

BASIC SCIENCE
GRADE CHANGE APPEALS
If a student believes a grade was
recorded or calculated incorrectly,
he/she should submit an appeal to
the Appeals Committee.

APPEAL OF DISMISSAL
If a student receives a letter of dismissal with the exception of those
actions that are not eligible for appeal, the student has the right to appeal.
SEMESTER V
Grade Change Appeals
If a student believes a grade for a Semester V course was calculated or
recorded improperly, he/she should
discuss the matter with the program
director of the respective Semester
V site. If the student feels that other
than objective standards were used
in the determination of his/her grade
he/she may appeal the grade to the
Executive Dean of Clinical Sciences
who will make a decision as to the
appeal

cannot be appealed.

STEP 1 APPEALS
A student who does not pass Step 1
within one year of achieving a minimum certifying score on the Comprehensive Basic Science Shelf
Exam and is dismissed, may appeal
the dismissal to the Appeals Committee. The Appeals Committee will
review the case and make a recommendation to the Executive Clinical
Dean, who will make a final decision
that cannot be appealed.
A student who fails to pass Step 1 in
three attempts may be dismissed by
the Promotions Committee, is ineligible to appeal the dismissal, and is
also ineligible to apply for readmission.

CLINICAL SCIENCE
COMPREHENSIVE BASIC SCIENCE
SHELF EXAM APPEALS
Students who have reached or ex- Please refer to the Clinical Rotations
ceeded the maximum number of at- Guidelines for further details.
tempts at the Comprehensive Basic
Science Shelf Exam without having
obtained the minimum certifying
score to sit Step 1 may be dismissed
by the Promotions Committee. The
student may appeal the dismissal to
the Appeals Committee. The Appeals
Committee will review the case and
make a recommendation to the Executive Dean of the Antigua Campus,
who will make a final decision that
AUA - August 2014 | 61

GUIDELINES FOR PROMOTION & DISMISSAL

GUIDELINES FOR PROMOTION & DISMISSAL

unnecessary registration complications, a student is to file the appeal


immediately after having received
their grade report. Re-test exams are
not subject to an appeal. No student
appeals will be entertained following
the re-test period. All appeals must
be submitted for consideration, prior
to the re-test period. Grades posted
following the re-test period are final
and not subject to appeal.

MEDICAL LICENSURE IN THE


UNITED STATES
The Role of the Educational
Commission for Foreign
Medical Graduates/ ECFMG

The Educational Commission


for Foreign Medical Graduates/
ECFMGs purpose is to assess
the readiness of graduates of
these schools to enter residency
programs, and requires strict
adherence to the following:
1. Passing all parts of the USMLE
(Step 1, Step 2 CK and CS; and
Step 3);
2. Satisfying the medical education credential documentation
requirement;
3. ECFMG certification in order
to:

62 | AUA - August 2014

c. secure an unrestricted license for practicing medicine in the U.S.

Currently, for the examination


application, a medical school
student must continue to submit
FORM 183, Certification Statement.
Please contact ECFMG for updates
regarding policy changes, etc. at:
ECFMG
3624 Market Street, 4th floor
Philadelphia, PA 19104-2805
Phone: (215) 386 5900
Fax: (215) 387 9963
Website: www.ecfmg.org

Post-graduate residency training


historically begins on July 1st each
year.
In order to begin residency on July
1st a student must complete his/her
medical education by the last Friday
in April. This includes passing all
clerkships, both Step 2 (CK) and (CS)
exams by that date.
Clinical students, including
Semester V, will receive an email
in early February of each year
from the Office of Graduate Affairs
and Professional Development
regarding the residency application
process.
Students will receive the Residency
Preparation Manual to help them
through the application process,
which includes applying for a
Medical Student Performance
Evaluation (MSPE). The application
process begins about a year and a
half prior to the residency start date.

Other agencies with which to


become familiar include:
The National Resident Matching
Program/NRMP
The NRMP oversees the Match,
matching students with residency
programs. The NRMP website,
www.nrmp.org, contains valuable
information on the process.
The Electronic Residency
Application Service (ERAS)
The Association of American
Medical Colleges (AAMC) developed
the Electronic Residency Application
Service (ERAS) to allow medical
students and graduates to apply
electronically for residency in
accredited U.S. programs of
graduate medical education. The
two websites are:
www.aamc.org/students/eras and
www.ecfmg.org/eras.

The Residency Preparation


Manual and other instructive and
informative booklets are available
on BlackBoard.
AUA - August 2014 | 63

MEDICAL LICENSURE

MEDICAL LICENSURE

The Educational Commission for


Foreign Medical Graduates/ECFMG
is the definitive agency certifying
the medical education of schools
outside of the United States and
Canada.

a. start post-graduate medical training (residency);


b. secure an initial license in
the state in which the residency program is located;

RESIDENCY: OVERVIEW
OF POST-GRADUATE
TRAINING

STUDENT CONDUCT
PROFESSIONAL CONDUCT
AND ETHICAL BEHAVIOR
It is incumbent upon each student at
the University to maintain the highest level of ethics and morals, and to
conduct himself/herself in a manner
befitting a physician.
Professionalism includes appearance and proper hygiene, demeanor,
behavior and conduct, integrity, intellectualism, honesty, and respect
for others.

These standards apply to students


during their entire medical education at the University.
Academic and/or non-academic infractions, including personal dishonesty, are not tolerated.
These infractions are grounds for
dismissal and are brought before
the Grievance and Professional
Standards Committee.
Professional conduct and ethical be64 | AUA - August 2014

1. The honest and authentic execution of all responsibilities


and the submission of all educational and clinical work,
without misrepresentation or
falsification. Stealing, cheating, and plagiarism may result
in dismissal.
2. Fulfillment of professional duties in a conscientious, reliable,
and punctual manner.
3. Compliance with all regulations
as set forth by the University
and clinical sites (non-smoking policies, library etiquette,
classroom behavior, housing
policies, general campus ethics), as well as civil laws and
regulations established by federal, state, or local authorities.
4. Visible display of a University
Identification Card (ID) at all
times when on campus and
when participating in University-sponsored events and activities; and visible display of the
hospital ID when participating
in clinical clerkships.

6. Maintaining the proper patient-care environment.


7. Introducing yourself to all patients as a medical student.
8. Respecting patient confidentiality and discussing cases
and patient information only in
appropriate professional circumstances
9. Discussing patient treatment
with the attending physician, if,
after careful thought, the medical student believes that the
ordered treatment may not be
in the best interest of the patient.
10. Refraining from patient care
when under the influence of any
substance or in a state which
prevents you from functioning
effectively and professionally.

11. Respect and compliance with


all hospital rules and regulations.

UNIVERSITY GRIEVANCE
PROCEDURES
HEARINGS AND APPEALS
The Universitys Grievance Committee is the investigative and judicial
arm of the Offices of the Executive
Deans in matters involving grievances of any member of the AUA community against the University or other members of the AUA community.
These grievances do not include
academic matters (i.e. grades and
promotions), but instead involves
breaches to University rules, regulations, policies and codes of conduct,
ethical behavior and or challenges
to the Universitys educational or
other policies. The Committee is
composed of faculty and student
representatives appointed by the
Executive Deans.
It is the responsibility and obligation
of all members of the Universitys
community to fully cooperate with
the Grievance Committee by providing necessary information and evidence upon request.

FILING A GRIEVANCE
Any member of the Universitys
AUA - August 2014 | 65

STUDENT CONDUCT

STUDENT CONDUCT

Students must be aware at all times


that they are representing the University on and off campus.

havior includes, but is not limited to:

5. Non-possession of illegal
drugs, alcoholic beverages,
firearms or weapons of any
kind. These items are strictly prohibited by the University
on its campus, student housing, and at University-sponsored events. AUA enforces a
zero-tolerance policy towards
illegal substances.

prompt notice to the members of


the community against whom the
grievance is made, and will designate a Hearing Panel consisting of
three to five members of the Universitys faculty and one student representative to oversee the proceedings.

HEARING PROCEDURES
A hearing will be scheduled promptly after it determines to charge a
party based upon the availability of
members from the Hearing Panel,
the grieving party, the party charged
and any respective witnesses.

In the event that the Chairperson


refers a grievance for mediation that
does not conclude satisfactorily for
the grieving party, the grieving party
may request that the Chairperson
refer the matter to the Committee
for further action. It shall be at the
discretion of the Chairperson to do
so subject to appeal of his decision
by writing within five business days
of the Chairpersons decision to the
full Committee. The Committees
determination on the appeal shall
be final.

All hearings shall be closed to the


public except to those persons who
will participate in the hearing. Witnesses shall be permitted to attend
only during such time that they are
providing testimony. Witnesses shall
not discuss their testimony or any
other aspect of the hearing that
they may witness with others. The
Hearing Panels Chairperson shall
determine whether and to what
extent evidence or testimony offered
should be permitted. All questions,
testimony and arguments shall be
presented with appropriate decorum
and courtesy. Badgering of witnesses will not be permitted.

Once it is determined that a hearing


is required, the Committee will give

Generally, the grieving party will


present the witnesses and evidence

66 | AUA - August 2014

in support of the charge at the hearing. In cases where the University or


any of its departments (including the
office of either Executive Dean) is
the grieving party, the Hearing Panel shall present the witnesses and
evidence in support of the charge.
After each witness of the grieving
party provides his/her evidence, the
party charged shall have the right
to examine the witness. Upon completion of the grieving partys presentation of witnesses and evidence,
the party charged will be afforded
the opportunity to offer evidence and
testimony of witnesses in defense of
the charges. The Hearing Panel may
question each of these witnesses
upon the conclusion of, or during
questioning by either party. The
Hearing Panel shall have the right to
alter the order in which the hearing
will proceed.
Either party (grieving or charged)
may ask the Hearing Panel to assist
in commanding the attendance of
witnesses and/or the production of
evidence within reason.
The Hearing Panel shall practice
basic principles of fairness in the
conduct of the hearing. Questions
and testimony shall be limited to
matters relevant to the issues at
hand.
Neither party shall be entitled to

legal counsel at the hearing but may


be assisted by another member of
the Universitys community. This
individual shall not be permitted to
give testimony at the hearing. If the
Hearing Panel determines that it
requires the assistance of counsel,
the panel may request counsel assistance at the hearing.
The parties, members of the Hearing Panel and witnesses may appear at the hearing in person or
by any other approved means (e.g.
telephone, videoconference, etc.).
However, all hearings shall be conducted at the Universitys campus
in Antigua. Upon either partys request, the Hearing Panel will make
arrangements with Manipal Education Americas, LLC for the party
or his/her witness to attend the
hearing by videoconference from the
AUA New York Office.
The party charged may waive the
right to a formal hearing if he/she
does not dispute the charges and/
or does not wish to present evidence
in defense of the charges. In such a
case, or in the case in which a party
charged fails to attend a duly scheduled hearing, the Hearing Panel
shall proceed with the hearing and
determine from the evidence presented whether the charges should
be upheld. If charges are upheld,
the Hearing Panel will recomAUA - August 2014 | 67

STUDENT CONDUCT

STUDENT CONDUCT

community may file a grievance with


the Committee by submitting a written statement to the Chairperson
of the Grievance Committee. This
statement should outline the nature
of the grievance, a brief statement
of the facts that support it, and include any relevant documentary
evidence. Upon receipt of a grievance, the Committees Chairperson
will conduct an initial investigation
to determine if there is sufficient basis to refer the matter for mediation
to be conducted by a member of the
schools faculty or administration
appointed by the Dean of Students,
or to the Grievance Committee for
further investigation and/or a hearing. The Chairpersons decision in
this regard is final.

Within three business days of the


conclusion of the hearing, the
Hearing Panel shall render a written statement as to whether the
charges, or any lesser charges,
have been sustained by the greater
weight of the evidence presented
at the hearing. If the Hearing Panel
determines to sustain any charge,
the statement shall also set forth,
briefly, its findings that support the
charge(s) sustained and a recommendation forwarded to the Executive Dean of Basic Sciences in the
case of a matter involving Semester I-V students or to the Executive
Dean of Clinical Science in the case
of a matter involvement Semester
VI-X students.
The consequences that the Hearing
Panel may recommend upon sustaining any charge are limited only
by the Universitys ability to enforce
the consequence, practically and
legally.
68 | AUA - August 2014

The Executive Dean to whom the


recommendation is made shall, at
his/her sole discretion, determine
whether to accept, reject or modify
in any respect, the recommendation
of the Hearing Panel with respect
both to its determination to sustain
the charge(s) and to its determination of the consequence, if any, that
should be imposed. The charged
party shall promptly be notified of
the decision of the Executive Dean.

GRIEVANCE APPEALS
Either party shall have the right
to appeal the determination of the
Executive Dean to President of the
University. In order to appeal a decision of the Executive Dean, a party
must adhere strictly to the following
procedures. Failure to do so may be
grounds for dismissal of the appeal:
1. The party must give written notice of his/her intent to appeal
the decision to the President
within fourteen (14) calendar
days of the date from which the
decision was rendered.
2. The appealing party must,
within 14 calendar days thereafter submit his/her written
appeal to the President. The
written appeal must include all
of the facts, new evidence and
circumstances that the party or

appellant wishes the President


to consider. It may include,
but is not limited to an acceptance of the determination of
guilt or responsibility with a
request for leniency. It may include any matter, information
or evidence that the appealing
party had not offered for consideration at the hearing. It
may include evidence or information which was not available
for presentation to the Hearing
Panel at the time of the hearing. It may involve a claim that
the decision appealed was the
result of failure of the Hearing
Panel to follow the procedures
outlined above or from undue
bias of the Hearing Panel.
3. Upon receipt of the appeal and
supporting documentation, the
President shall supply copies of those documents to the
other party, and to the Hearing
Panel, who within 14 calendar
days of receipt of the appeal
and supporting documents,
may submit a written response
to the appeal and provide supporting evidence for the President to consider.
4. The President shall consider
the appeal on the basis of the
written appeal papers and the

written submissions in response thereto, if any, and will


either render a decision on
the appeal or advise that further information is required
that he/she deems appropriate. In some cases, this may
require an additional hearing
over which he/she will preside.
If the President determines
that a further hearing shall be
conducted, either party may be
entitled to representation of
counsel of his/her choice. Any
such further hearing shall be
held on the Universitys campus in Antigua unless the student and the President shall
otherwise mutually determine.
The President may, upon consideration of the appeal, accept, reject or
modify the determination appealed
from or any aspect of it. Among the
actions that he/she may take are the
imposition of a lesser, different or
greater consequence.
The decision of the President shall
be final, binding and non-appealable
in any forum within or outside of the
University. It shall be communicated
in writing to the parties involved.
If, at any time, or under any circumstances, either Executive Dean is
unable to carry out his/her responsibilities due to conflict of interest,
AUA - August 2014 | 69

STUDENT CONDUCT

STUDENT CONDUCT

mend appropriate consequences. A


charged party may also, at any time
before the hearing is concluded,
notify the Hearing Panel that he/
she does not wish to dispute the
charges. At this time, the charged
party may offer evidence of circumstances that the Hearing Panel may
consider in mitigation of any recommended consequence.

UNIVERSITY DISCIPLINARY
PROCEDURES
PROFESSIONAL STANDARDS COMMITTEE
The Universitys Professional Standards Committee is the investigative
and judicial arm of the Offices of the
Executive Deans in matters involving
violations by students of non-academic University rules, regulations,
policies and codes of conduct and
ethical behavior. It has no authority over academic matters except
70 | AUA - August 2014

insofar any such matters also substantially involve non-academic issues such as cheating or academic
dishonesty. The Committee is composed of faculty and student representatives who shall be appointed by
the Executive Deans.

FILING A VIOLATION
It is the responsibility and obligation
of all members of the Universitys
community, students included, to report to the Office of the Dean of Students any instances of violations by
any member of the community, students included, of violation of the Universitys rules, policies, regulations,
procedures and Codes of Conduct
and Ethical Behavior about which
the member becomes aware. It is
also the responsibility and obligation
of all members of the Universitys
community to fully cooperate with
the Professional Standards Committee by providing necessary information and evidence upon request.
Failure of a student to do either will
constitute a violation of the Universitys policies and Code of Conduct and
Ethical Behavior and may subject the
student to disciplinary action by the
Committee.
Upon receipt of information concerning a breach by a student of the Universitys non-academic rules, and/or
Code of Conduct and Ethical Behav-

ior, the Dean of Students will conduct


an initial investigation to determine if
there is sufficient basis to refer the
matter for mediation to be conducted
by a member of the schools faculty
or administration appointed by the
Dean of Students or to the Professional Standards Committee for further investigation and/or a hearing.
The Dean of Students decision in
this regard is final. In the event that
the Dean of Students refers a violation for mediation that does not conclude satisfactorily for the charged
party, the charged party may request
that the Dean of Students refer the
matter to the committee for further
action.

HEARING PROCEDURES
Matters referred to the Professional
Standards Committee will proceed
as follows:
1. Once a matter is referred by
the Dean of Students to the
Professional Standards Committee, the Committee will give
prompt notice to the student(s)
involved and will designate a
Hearing Panel consisting of
three to five members of the
Universitys faculty and at least
one student representative to
oversee the proceedings.
2. Upon the determination of the

Committee that there is sufficient basis and evidence for the


Committee to charge a student
with a violation of the Universitys rules, regulations or Code
of Conduct, the Committee will
provide the student with a brief
statement setting forth the
charge(s) against him/her and
the factual basis for them.
3. A hearing will be scheduled
promptly based upon the availability of members of the Hearing Panel, the students charged
and any respective witnesses.
4. All hearings shall be closed to
the public except to those persons who will participate in the
hearing. Witnesses shall be
permitted to attend only during
times that they are providing
testimony. Witnesses shall not
discuss their testimony or any
other aspect of the hearing that
they may witness with others.
The Hearing Panels Chairperson shall determine whether
and to what extent evidence
or testimony offered should be
permitted. All questions, testimony and arguments shall
be presented with appropriate
decorum and courtesy. Badgering of witnesses will not be
permitted.

AUA - August 2014 | 71

STUDENT CONDUCT

STUDENT CONDUCT

scheduling, disability or any other


reason as he/she shall in good faith
determine, he/she shall have the
right and duty to appoint his/her replacement from among the Chairs in
his/her Department. If, at any time,
the President is unable to carry out
his/her responsibilities due to conflict of interest, scheduling, disability
or any other reason as he/she shall
in good faith determine, he/she shall
have the right and duty to appoint
his/her replacement from among
the Universitys executive officers. In
either of such cases, the appointed
person shall have the rights, powers, responsibilities and duties of the
President or the Dean who he/she
replaces. In which case, all references above set forth to the President or
Executive Dean shall be deemed a
reference to the replacement.

6. The student charged may ask


the Hearing Panel to assist
him/her in commanding the
attendance of witnesses and/
or the production of evidence
within reason.
7. The Hearing Panel shall practice basic principles of fairness
in the conduct of the hearing.
Questions and testimony shall
be limited to matters relevant
to the issues at hand.
8. The charged student shall not

72 | AUA - August 2014

be entitled to legal counsel at


the hearing, but may be assisted by another member of the
Universitys community. This
individual shall not be permitted to give testimony at the
hearing.
9. The charged student, members of the Hearing Panel and
witnesses may appear at the
hearing in person or by other
appropriate means (telephone,
videoconference, etc.). However, all hearings shall be conducted at the Universitys campus in Antigua. Upon a charged
students request, the Hearing
Panel will make arrangements
with Manipal Education Americas, LLC for the student or his/
her witness to attend the hearing by videoconference from
the AUA New York Office.
10. The student charged may waive
the right to a formal hearing if
he/she does not dispute the
charges and/or does not wish
to present evidence in defense
of the charges. In such a case,
or in the case in which a student charged fails to attend a
duly scheduled hearing, the
Hearing Panel shall proceed
with the hearing and determine
from the evidence presented
whether the charges should be

upheld. If charges are upheld,


the Hearing Panel will recommend appropriate consequences. A charged student
may also, at any time before
the hearing is concluded, notify the Hearing Panel that he/
she does not wish to dispute
the charges. At this time, the
charged student may offer evidence of circumstances that
the Hearing Panel may consider in mitigation of any recommended discipline, if any.
11. Within three calendar days of
the conclusion of the hearing,
the Hearing Panel shall render a written statement as to
whether the charges, or any
lesser charges, have been sustained, by the greater weight of
the evidence presented at the
hearing. If the Hearing Panel determines to sustain any
charge, the statement shall
also set forth briefly, its findings that support the charge(s)
sustained and a recommendation to the Executive Dean of
the Department (Basic Sciences or Clinical Sciences).
12. Discipline may include, but
may not necessarily be limited
to, probation, suspension, dismissal from the school, receipt
of a failing grade or grades on

specified course work, failure of, or withdrawal from, of


a class or classes, enforced
leave of absence. Any discipline
may also include a suspension
of any discipline or such other
conditions as the Hearing Panel may determine are appropriate under the circumstances.
13. The Executive Dean to whom
the recommendation is made
shall, at his/her sole discretion, determine whether to accept, reject or modify in any respect, the recommendation of
the Hearing Panel with respect
both to its determination to
sustain the charge(s) and to its
determination of the discipline,
if any, that the student should
receive. The student shall
promptly be notified of the decision of the Executive Dean.

DISCIPLINARY APPEALS
The decision of the Executive Dean
shall be final and binding with no
right of appeal or other review in
any forum within or outside of the
University for any case in which the
most severe discipline imposed is
probation. In all other cases, a student against whom a discipline has
been imposed in accordance with
the above procedures shall have
the right to appeal the President of
AUA - August 2014 | 73

STUDENT CONDUCT

STUDENT CONDUCT

5. Generally, the Hearing Panel will present the witnesses and evidence in support of
the charge at the hearing. After each witness of the Hearing Panel provides his/her evidence, the student charged
shall have the right to examine the witness. Upon completion of the Hearing Panels
presentation of witnesses and
evidence, the student charged
will be afforded the opportunity
to offer evidence and testimony of witnesses in defense of
the charges. The Hearing Panel may question each of these
witnesses upon the conclusion
of questioning by the student.
The Hearing Panel shall have
the right to alter the order in
which the hearing will proceed.

1.

The student must give written notice of his/her intent


to appeal the decision to the
President within fourteen
(14) calendar days of the date
from which the decision was
rendered.

2.

The student must, within 14


calendar days thereafter,
submit his/her written appeal
to the President. The written
appeal must include all of
the facts, new evidence and
circumstances that the student wishes the President to
consider. It may include an
acceptance of the determination of guilt or responsibility
with a request for leniency. It
may not include any matter,
information or evidence that
the student had not offered
for consideration at the hearing except when the matter,
evidence or information was
not available for presentation
to the Hearing Panel at the
time of the hearing. It may involve a claim that the decision
appealed from was the result

74 | AUA - August 2014

of failure of the Hearing Panel to follow the procedures


outlined above or from undue
bias of the Hearing Panel.
3.

The President shall consider


the appeal on the basis of the
written appeal and supporting documentation and will
either render a decision on
the appeal or advise that further information is required
that he/she deems appropriate. In some cases, this may
require an additional hearing
over which he/she will preside. If the President determines that a further hearing
shall be conducted, the student shall be entitled to representation of counsel of his/
her choice. Any such further
hearing shall be held on the
Universitys campus in Antigua unless the student and
the President shall otherwise
mutually determine.

The President may, upon consideration of the appeal, accept, reject or


modify the determination appealed
from or any aspect of it. Among the
actions that he/she may take are the
imposition of a lesser, different or
greater discipline, the removal or attachment of conditions of discipline,
or the grant or removal of suspensions of enforcements of discipline.

The decision of the President shall


be final, binding and non-appealable
in any forum within or outside of the
University. It shall be communicated
to the student in writing.
If, at any time, or under any circumstances, the Dean of Students or either Executive Dean is unable to carry out his/her responsibilities due to
conflict of interest, scheduling, disability or any other reason as he/she
shall in good faith determine, he/she
shall have the right and duty to appoint his replacement from among
the Chairs in his/her Department. If,
at any time, the President is unable
to carry out his/her responsibilities
due to conflict of interest, scheduling, disability or any other reason as
he/she shall in good faith determine,
he/she shall have the right and duty
to appoint his/her replacement from
among the Universitys faculty or
executive officers. In either of such
cases, the appointed person shall
have the rights, powers, responsibilities and duties of the President or
the Executive Dean who he/she replaces. In which case, all references
above set forth to the President or
Executive Dean who he/she replaces
shall be deemed a reference to the
replacement.

POLICY OF NON-DISCRIMINATION
The University does not discriminate
nor does it condone harassment
based upon race, creed, ethnicity, religion, gender, national origin,
age, disability, sexual orientation or
any other characteristic protected
by law. This applies to students and
employees (faculty and staff) on the
AUA premises as well as during AUA
sponsored events.
Sexual harassment, defined as
non-gender specific, is subject to
disciplinary action, and includes the
following:
Harassment of women by men,
men by women, or persons of the
same gender;
Unwelcome sexual advances;
Requests for sexual favors and
sexual displays of any kind;
Inappropriate sexual behavior
or verbal abuse that is sexually
based and offensive in nature.

AUA - August 2014 | 75

STUDENT CONDUCT

STUDENT CONDUCT

the University. In order to appeal a


decision of the Executive Dean, a
student must adhere strictly to the
following procedures. Failure to do
so may be grounds for dismissal of
the appeal:

STUDENT SERVICES
At AUA, we believe you should develop personal responsibility for
your health and we are here to help
you with that goal. Staying healthy
will give you a competitive edge and
help maximize your educational experience at AUA.

APPOINTMENTS
The Student Health Center operates
on an appointment system, which
decreases waiting time and allows
for better planning by all parties. If
you are unable to keep your scheduled appointment, please notify us
so that your appointment may be
given to a fellow student. Walk-ins
may be seen based on availability.

HOURS OF OPERATION
Monday, Tuesday, Thursday and
Friday from 9:00 am until 2:00 pm.
Walk-ins may be seen at other times
based on availability.
Office hours are modified during
school breaks.
University Park Health Center is
closed on all observed holidays.
76 | AUA - August 2014

LIFE-THREATENING EMERGENCIES
Call 911 if you are experiencing a
life-threatening emergency.
If you have an emergency during the
hours of 8:00am 6:00pm, Monday Friday, please contact the Emergency Response Team at 268-789-7800.
For after-hour emergencies, please
contact 268-764-0164.

2. Preventive Medical Care - routine physical exams, cholesterol screening, pelvic exams,
etc.

SERVICES PROVIDED

3. Mental Health Services - see


below.

Services are available to those students who are actively enrolled in


semester course work. Insurance
cards and identification badges are
required when students are seen at
the Student Health Center.

4. Laboratory Studies - routine


laboratory studies appropriate
for diagnostic purposes. Students are responsible for any
charges not covered by their
health insurance.

1 Outpatient Medical Care - diagnosis and treatment of


acute and chronic illnesses,
as well as minor injuries.
Respiratory infection
Urinary tract infections
Headaches
Abdominal pain
Sexually transmitted
infections (STIs)

5. Immunizations Meningococcal, Pneumococcal, Varicella,


Tdap boosters, Adcel, Hepatitis B vaccines, Flu vaccines
and TB skin tests are available.
6. Health Education - publications
and materials are available at
the Student Health Center on a
variety of health topics.

7. Laboratory or radiographic
studies ordered outside of
Student Health Center that are
felt to be medically indicated
by the student health center.

MENTAL HEALTH SERVICES


We serve the mental health care
needs of students in the Behavioral
Science offices, as well as the student health center. Many students
experience life events or academic
pressures that leave them feeling
anxious, confused, lonely, angry,
depressed or overwhelmed. When
those feelings persist for more than
just a few days, it is often helpful to
speak with an unbiased, objective
professional. Any personal issue
that is troubling a student may be
discussed in counseling. For appointments regarding counseling
please contact the Student Health
Center or University Counseling Services.

SERVICES NOT PROVIDED


1.

Surgical procedures (Outpatient and Inpatient)

2.

Cost of inpatient medical care


and hospitalization

3.

Payment of prescription drugs

AUA - August 2014 | 77

STUDENT SERVICES

STUDENT SERVICES

STUDENT HEALTH CENTER

Dermatological conditions
Sports-related injuries
Routine office visits/any
concerns for which you
would see your family doctor or general practitioner
Referrals
Prescription Refills for
most medications

4.

3.

Routine dental care

4.

6.

Ambulance services

7.

Obstetrical care

8.

Male and female fertility evaluation

9.

Radiographic studies

MEDICAL EXCUSE POLICY


The Student Health Center will only
provide medical excuses to students
for medical conditions that prevent
a student from attending an exam,
lab/group activity or more than 2
days absence from lectures AND
meet the following conditions:
1.

2.

A Student Health Center provider is involved in the medical


care AND
The condition is deemed significant by the Student Health
Center provider AND

78 | AUA - August 2014

Based on examination by the


student health center provider,
the student is advised not to attend class OR
The student has proof of a
documented hospitalization.

In general, the following conditions


will NOT warrant a medical excuse:
1.

A request for a medical excuse


from the Student Health Center for verification of an illness
after the illness is over.

2.

A student who misses class or


an exam for an appointment at
the Student Health Center.
A sinus/ear/eye/respiratory infection, sore throat, headache,
or cough without significant
symptoms, i.e. fever.
Gastroenteritis (abdominal
pain/cramps/vomiting/diarrhea, unless there is fever and/
or severe dehydration).
Musculoskeletal conditions
which do not prevent ambulation (such as minor ankle
injuries, wrist sprains, etc.)

3.

4.

5.

with our commitment to maintain


confidentiality, to encourage appropriate use of healthcare resources,
and to support meaningful dialogue
between professor and student.
Students are responsible for communicating directly with faculty
regarding class attendance and/or
completion of class assignments.
Further information regarding University attendance policies with
regard to illness and emergencies
can be found in the attendance section of this handbook. If professors
require written documentation of
a clinic visit to the Student Health
Center, due to the confidentiality of
medical information, only the date
and time of the visit will be provided.
CONFIDENTIALITY
Information regarding the physical or mental status of students is
strictly confidential. Information
regarding a student will not be released to persons outside of the
Student Health Center without the
students written consent, unless
legally mandated (i.e. for insurance
purposes).

BILLING
This policy is consistent with recommendations from the American College Health Association, as well as
with the policies of other peer institutions. This policy is also consistent

All students will be billed for the


balance for any lab or referral service charges incurred. Please make
sure that the Student Health Center

has your current health insurance


information.

AUA STUDENT POLICY FOR


SUBSTANCE ABUSE PREVENTION AND INTERVENTION
I. Policy
This policy is applicable to all students enrolled in credit courses
in a degree-granting program at
the American University of Antigua
(AUA).
AUA expects students to adhere
to the policies contained herein
regarding the consumption and
serving of alcoholic beverages on
University property and at University
events. AUA also expects students
who are of legal drinking age in Antigua to act responsibly on the occasions when they choose to consume
alcoholic beverages.
The University intends to maintain a
substance free workplace. Individuals impaired by the use of alcohol
and drugs are harmful to themselves, the Universitys mission, the
treatment of patients, and the wellbeing of co-workers, students, and
visitors.
The University prohibits the illegal

AUA - August 2014 | 79

STUDENT SERVICES

STUDENT SERVICES

5.

Routine eye care (refraction,


prescription glasses, contact
lens care, etc.)

AUA recognizes that alcohol and


other drug abuse is a preventable
and treatable condition and acknowledges that, as an institution
dedicated to the healing arts, we
have the responsibility to facilitate
prevention activities and offer treatment to students who suffer from
alcohol and other drug abuse.
AUA encourages all impaired students to seek help voluntarily and
favors the earliest possible intervention. AUA will make treatment
and referral services available to
students.
AUA respects the right to confidentiality of recovering students and will
assist them to continue their education and employment. However, AUA

80 | AUA - August 2014

STUDENT SERVICES

also respects the rights of patients


and others and seeks to protect
them from the harm that impaired
students may cause. Hence, impaired students who fail to cooperate with appropriate treatment
programs are subject to disciplinary
actions up to and including dismissal as deemed appropriate by the
Dean of the students college.
In order to ensure the fulfillment of
these institutional policies, guidelines and procedures will be implemented in each of three areas: I.
Prevention, II. Intervention and III.
Legal Issues.
II. Guidelines and Procedures
I. Prevention:
Recognizing the importance of preventive aspects of alcohol and other
drug abuse education, AUA will implement the following initiatives:
A. Curriculum: AUA will recognize
the importance of teaching about
alcohol and other drug abuse. As
deemed appropriate by the Curriculum Committee, information about
alcohol and/or drug abuse will be
conveyed in courses required for
graduation.
B. Orientation: Each year at orientation, the Dean of the college or his/

her designee (e.g., the Dean for Students or another designated faculty
member who will be referred to in
this policy as the Deans designee)
will inform new students about the
availability of AUA resources (him/
herself, the University Counseling Center, Student Health Center,
Crossroads, Alcoholics Anonymous/
Narcotics Anonymous) for students
concerned about alcohol and other
drug use and abuse.
C. Wellness: Students will be encouraged to develop healthy lifestyles through the availability of
exercise facilities, sports programs, meditation groups and other
health-promoting activities. Information about Student Wellness programs will be provided at orientation
for new students.
D. Social Activities: Any event for
AUA students that utilizes the Universitys name must serve food and
have non-alcoholic beverages available if alcohol is served. Any advertisement placed on the AUA campus
that indicates that alcoholic beverages will be served at an event that
utilizes the Universitys name must
also indicate that non-alcoholic beverages and food will be served. Any
non-approved, non-AUA events that
primarily serve alcohol will not be
displayed or advertised on campus
or in campus publications. Further,

at all AUA-approved events serving


alcohol, the sponsors must have a
designated driver (DD) program in
place at the event.
E. Other Prevention Activities: The
AUA University Counseling Service
(UCS) and Student Health Center
will serve as a resource and help
coordinate educational presentations about alcohol and other drug
use and abuse for students if requested.
II. Intervention
A. Early Identification:
1. In the spirit of prevention and
early intervention, any member of
the University community who is
concerned that an AUA students
use of alcohol or other drugs may
be causing the student to be impaired (see Definition of Impairment
in Section II.B. below) is encouraged
to report his/her concern to the Director of University Counseling Services or Director of Student Health
Center. For students at clinical
sites; the Executive Dean of Clinical
Sciences should be notified. He will
contact the identified student and
request he/she present for evaluation. (See section II.C.7 for additional
details). If it is ascertained that the
identified student is impaired, Steps
2 - 12 as outlined in Section II.C.

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use or the abusive use of alcohol


or other legal drugs on University
property or at events that utilize the
Universitys name. In accordance
with Antiguan law, AUA also strictly prohibits the use, possession,
manufacture, sale, or distribution of
illegal drugs or drug paraphernalia
by any AUA student. Students are
expected to use only those prescription medications that are prescribed
for them within the confines of a
provider/patient relationship. Students are prohibited from using prescription medications not prescribed
for them.

2. An AUA student who is arrested


or charged with a misdemeanor
or other crime involving the use,
possession, manufacture, sale, or
distribution of alcohol or any other
drug, is required to report this information to the Dean of Students for
students on campus or to the Executive Dean of Clinical Sciences for
those on clinical rotations within two
university/college business days of
the offense. The Dean of Students,
or the Executive Dean of Clinical
Sciences will take whatever action
he/she deems appropriate. These
actions include, but are not limited to, initiation of an intervention
as outlined in Section II.C. (Treatment) of this policy, suspension
of the student, or dismissal of the
student. Students who fail to report
violations or charges may also be
subject to conditional study, suspension or dismissal should this failure
be later discovered.
3. An AUA student who receives a
positive drug screen as a result of
an AUA required test must insure
that the Dean of Students or the
Executive Dean of Clinical Sciences
is informed. With the exception of
those in UCS or Student Health Center who are in a confidential patient/
provider relationship, if an AUA staff

82 | AUA - August 2014

is informed of the positive drug test,


he/she will notify Dean of Students
office, who will interview the student
and take whatever action he/she
deems appropriate. These actions
include, but are not limited to, initiation of an intervention as outlined in
Steps 2 - 12 in Section II.C. (Treatment) of this policy. The students
ability to complete his/her course of
study may be impacted.

reasonable observer to be, under


the influence of alcohol and/or other
drugs in the classroom, clinical, or
other campus or professional setting.

4. Refusal by a student to submit to


testing will result in removal from
educational activities and may result
in dismissal.

5. The student is arrested or convicted of violating Antiguan law


related to the students use, possession, manufacture, sale, or distribution of alcohol or other drugs.

B. Definition of Impairment: An
AUA student who meets any one of
the following criteria will be identified as impaired:
1. The student exhibits impaired
professional (i.e., academic, clinical and/or research) performance
in association with the observed or
alleged improper use of alcohol or
drugs.
2. The student poses a danger to
himself/herself or others or displays behavior that is disruptive to
the goals of the students academic,
clinical and/or research programs
in association with the observed or
alleged improper use of alcohol or
drugs.
3. The student is, or appears to the

4. The student is discovered using


or is found to have possession of any
illicit substance on University property or at an event which utilizes the
Universitys name.

C. Treatment
1. A student who voluntarily refers him/herself to UCS or Student
Health Center for evaluation or
treatment of problems related to
alcohol or other drug use or abuse
will retain his/her rights to confidentiality, in accordance with state,
federal, and local laws.
2. If an AUA student, faculty member, or any other member of the
AUA community is concerned that a
student may be impaired (see definition of impairment in II.B. above)
he/she is encouraged to call UCS
or Student Health Center to discuss
his/her concerns. He/she is also
encouraged to 1) refer the student to

UCS/Student Health Center for voluntary evaluation and/or treatment,


and 2) inform UCS/Student Health
Center of the name of the student
being referred. The referring individual is encouraged to inform the
Dean of Students and the Deans
Office, or the Executive Dean of
Clinical Science will take appropriate action, including determining
whether to contact the student. If
the Deans Office contacts the student they should ask the student to
sign a release of information form
authorizing UCS/Student Health
Center staff to provide information
to the Deans Office as indicated on
the form. UCS/Student Health Center will attempt to contact the referred student to schedule an evaluation. A student who is referred for
voluntary contact with UCS/Student
Health Center will retain all rights
to confidentiality accorded students who self-refer to UCS/Student
Health Center with the exception
that UCS/Student Health Center will
inform the Deans Office that the
student reported or failed to report
for evaluation.
3. If an AUA student, faculty member, or any other member of the
AUA community is so concerned
about an allegedly impaired student
that he/she believes that the situation warrants a mandated referral
to UCS/Student Health Center, he/

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(Treatment) of this policy will be


implemented.

The referring individual should contact the Dean of Students, or the


Executive Dean of Clinical Services
to request a mandated evaluation
and/or treatment (see II.C.4-10.
below for a description of the mandated treatment process, especially
II.C.7.). A request for a mandated
referral should be implemented
when the allegedly impaired student
is thought to be at risk for self-harm
or harm to others. Examples include but are not limited to suicidal
ideation or threats of self-harm,
threats toward others, negative
impact on patient care or safety, a
significant impairment in the students academic performance, or
other threats to the students physical or psychological well-being. The
Dean of Students, or the Executive
Dean of Clinical Services would then
determine the appropriate course of
action to include a possible mandated evaluation or treatment at UCS/
Student Health Center, or some
other type of intervention (e.g., removal from classes or a clinical
rotation, administrative withdrawal,
suspension, or dismissal. These
actions will henceforth be referred
to in this policy as an appropriate

84 | AUA - August 2014

disciplinary action.).
4. If the Dean of Students elects to
mandate an evaluation or treatment
at UCS/Student Health Center, he/
she should request that the student
sign a release of information form
authorizing UCS/Student Health
Center staff to share specified information with the referring individual.
If a mandated student declines to
sign a release of information form,
the Dean of Students, or Executive
Dean of Clinical Science will determine an appropriate course of
action, which includes but is not
limited to a mandated two session
assessment at UCS/Student Health
Center, or in the case of a clinical
student an evaluation by an approved practitioner, with no authorization form in place, or an appropriate disciplinary action.
5. The Dean of Students or Executive Dean of Clinical Science will
inform UCS/Student Health Center,
or approved practitioner of the mandated students name and provide
background information regarding
the circumstances that led to the
mandated assessment or treatment.
The Dean of Students or the Executive Dean of Clinical Science should
inform UCS/Student Health Center,
or the approved practitioner of the
nature of the referral question.

6. When an allegedly impaired student is referred or mandated for


evaluation or treatment to UCS/
Student Health Center, or approved
practitioner, the student will be provided with a copy of the AUA Student
Policy for Substance Abuse Prevention and Intervention.
7. At the time an allegedly impaired
student is referred or mandated to
UCS/Student Health Center, or approved practitioner by a member
of the University community for an
evaluation or treatment, this evaluation will include assessment of
the students substance use, identification of actions needed to better
evaluate the students substance
use, and, if indicated, formulation of
a treatment plan or contract.
8. If a student is mandated for assessment at UCS/Student Health
Center and does not report for the
assessment, UCS/Student Health
Center personnel will attempt to
contact the student. If UCS/Student
Health Center cannot contact the
student or he/she declines to complete an assessment, UCS/Student
Health Center personnel (even in the
absence of a signed release of information form) will inform the referring Dean of Students. UCS/Student
Health Center will also take reasonable steps to inform the student that
his/her Dean will be informed of the

students nonparticipation in the


mandated assessment or treatment.
9. If after a two-session assessment at UCS/Student Health Center
the mandated student continues
to decline to sign a release of information form allowing specified
information to be shared with the
referring Dean of Students, UCS
personnel will inform the referring
Dean of Students that the student
has declined to sign a release of
information form, who will then
determine an appropriate course of
action that could include an appropriate disciplinary action.
10. If a Dean of Students is informed
by UCS/Student Health Center that
an allegedly impaired student has
failed to comply with a recommended or mandated evaluation or that
an impaired student has failed to
comply with a treatment contract,
the Dean of Students will take whatever action he/she believes is appropriate. Potential actions include
but are not limited to, mandating or
re-mandating evaluation or treatment, or an appropriate disciplinary
action.
11. If the Dean of Students, or the
Executive Dean of Clinical Science,
elects to place the student on an
administrative withdrawal, or invoke
some other action which interrupts

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she may elect to 1) discuss his/her


concerns with a clinician at UCS/
Student Health Center or 2) call 911
if the student appears to be an imminent danger to self or others.

12. If an AUA student is arrested for


or convicted of violating Antiguan
law involving the use, possession,
manufacture, or sale of alcohol or
other drugs, the student must satisfy the requirements of the legal
system. If suspension or dismissal
had been recommended by AUA,
and the student has satisfied his or
her legal requirements, the student
may petition the appropriate Dean
for readmission. If the student is readmitted, he/she will be required to
enter into an appropriate treatment
program supervised by the Dean of

86 | AUA - August 2014

STUDENT SERVICES

Students. The Dean of Students or


the designated faculty member will
consult with a professional at UCS/
Student Health Center who will conduct an evaluation of the student,
ascertain what action should be taken to better evaluate the students
substance use, and recommend a
treatment plan. The student, UCS,
the Dean of Students will adhere to
steps 2 - 11 stated above in Section
II.C. (Treatment) of this policy.
D. Responsibilities of AUA:
1. AUA will make available to students a cost- effective health insurance policy that provides some
coverage for the cost of chemical
dependency inpatient treatment.
2. AUA will make alcohol abuse and
other drug abuse treatment available through UCS/Student Health
Center or designated program.
E. Status of the Impaired Student:
1. The students college administration will make the decision about
the students status in his/her program of study taking into consideration the students academic and
professional qualifications for the
program of study and the students
compliance with the recommended
treatment.

2. Providing the impaired student


follows the recommended treatment, and assuming he/she remains academically and professionally qualified for his/her program
of study, the student may qualify as
an individual with a disability and
receive reasonable accommodation
under University policy.
III. Legal Issues
A. Responsibilities of AUA
1. The reporting and treatment
procedures outlined in this policy
will preserve program participants
confidentiality within the guidelines
noted above in the section entitled
Intervention and compliance with
the program will normally ensure
continued student status.
2. Participation in alcohol and other drug abuse treatment programs
does not confer immunity for the
individual from legal prosecution
for criminal acts. All records and
communications shall be held in the
strictest confidence and disclosure
made only pursuant to applicable
state and federal laws.
B. Non-liability Clause
Persons who in good faith and without malice make a report about a
students use/abuse of alcohol or

other drugs to UCS/Student Health


Center or the Dean of Students or
the designated faculty member of
the students college shall not be
held liable for damages resulting
from such reporting, providing said
report is made in the reasonable
belief that such action or recommendation is warranted by the facts
known to him/her after reasonable
effort is made to obtain the facts on
which such action is taken.
IV. Effective Dates of the Policy
This policy will become effective in
June 2014. It shall remain in effect
until modified or rescinded by the
Provost of the University.

LIBRARY
The University Library invests in
technologically advanced resources,
employs professionals who manage
and disseminate biomedical information, and promotes in-service
staff training to meet the demand
for information from various sources to students, faculty and other
eligible users.
For more information, please contact the Dean of Library Services
and Academic Support [drmpathan@
auamed.net].

AUA - August 2014 | 87

STUDENT SERVICES

the students academic progress,


prior to deciding whether to readmit
the student, the Dean of Students
or the Executive Dean of Clinical
Science, will mandate an evaluation
at UCS/Student Health Center, or
other approved practitioner to include treatment recommendations
and require the student to sign a
release of information form allowing
UCS/Student Health Center to share
with the Dean of Students their
assessment regarding the students
suitability for returning to his/her
academic work, treatment recommendations and the information
specified by the Dean of Students. If
the student declines to sign the release of information form, the Dean
of Students will take an appropriate
course of action, up to expelling the
student.

The University Library provides


many services and resources that
include, but are not limited to:
books, journals, audiovisual materials, CD-ROMs, DVDs, multi-media, software programs, and online
resources. The librarys resources,
equipment, and facilities enhance
self-directed learning, support evidence-based medicine, research,
and help students succeed academically.
The library has a full range of
current biomedical books, basic
biomedical journals (printed and
on-line), study aids, audiovisual
programs, and computer-assisted
instructional materials that supplement required readings. It continuously acquires the latest editions
and books required for faculty and
students of Basic Sciences. For
information on the library services
and resources please visit http://
students.auamed.net/library.
Students will find a copy of the Student Handbook on the Library website as well as Policies and Procedures relating to the Use of the
Library and its services.

INTERNET
The library provides free access to

88 | AUA - August 2014

computer workstations and wireless Internet access to students and


faculty for learning, research, and
teaching. The entire library has WiFi hot-spots. The University encourages students to bring their personal laptops to the Library to take
advantage of Wi-Fi connections.
The Information Technology Handbook details policies regarding
appropriate use of computer equipment, e-mail system, and the Internet. The handbook can be accessed
at http://students.auamed.net/
library. Students are encouraged to
contact the Director of Information
Technology for more information.

IDENTIFICATION CARDS
A student must display his/her AUA
identification (ID) card to gain entry to the library and for all library
transactions and services: borrowing books, making photocopies, and
using multimedia resources.
Although the library also serves
Antiguan health professionals, only
an AUA student or faculty member
will have the privilege of borrowing
library materials.

LIBRARY HOURS
Considering the requirements of the
reading facilities of the students, the

Library is kept open for 24-hours as


under:
1. Wings A and C and the Corridors on the 2nd floor are kept
open for 24-hours a day except
from 8-10 AM for cleaning.
2. Wing B is kept open form 8 AM
until 10:45 PM Monday to Friday including holidays; and 10
AM until 10:45 PM on Saturday
and Sunday including holidays.
3. The Study Area on the 3rd floor
is kept open until 2 AM. It will
be 24-hours during the exam
weeks, except 8-9 AM for
cleaning.
There are 11 Group Study Rooms
available in the library. These study
rooms are assigned to groups of
students. A group must have a
minimum of four students in order
to be allocated a study room for a
duration of three hours. Based on
the demands for these Group Study
Rooms, a group will be granted an
extension if there are no groups of
students waiting to reserve a room.
Students must leave his/her AUA ID
card with the Circulation Desk to be
able to get a room allocated.

LIBRARY POLICIES
1. The following is prohibited in

the library at all times:


A. Eating, smoking, using
mobile phones, a speaking loudly.
2. Students are permitted to bring
water and soft drinks inside the
Library.
3. A student is expected to return
library materials on time.
4. Overdue charges are assessed
on overdue items borrowed
from the library to ensure the
prompt and timely return of
heavily used items. Students
will sign off an invoice for all
such charges which will be
submitted to the Bursars Office on the Antigua campus.
5. A student who steals, damages
or vandalizes library materials,
equipment or furniture will incur the costs of replacing these
items and/or face disciplinary
action.
6. Students are urged NOT to
leave valuables laptops,
phones, iPads, purses, etc. on
the library tables. The library is
not liable for the loss or damage of a students property (e.g.
notebooks, laptops and personal items) left unattended in

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RESOURCES

7. The library staff initially will


warn any student who ignores
library policies. Thereafter, the
staff then informs the Dean
of Library Services and Academic Support, who then refers the issue to the Grievance
and Professional Standards
Committee. A student who receives more than three warnings for inappropriate behavior
is subject to disciplinary action,
which includes, but is not limited to, denial of library access
and services for the remainder
of the current semester and/or
the following semester.
8. Students are advised to be respectful to library staff. They
must understand that the library personnel are performing their duties as assigned to
them, which also includes assisting students in provision of
information and reading materials. A student who threatens
a staff member physically will
be suspended immediately,
pending a hearing that may result in dismissal from AUA.
9. If any incidence of rude behavior is noted from the library
personnel, please report the
matter in writing to the Dean of

90 | AUA - August 2014

Library Services and Academic Support or the Associate Director so that the necessary investigation is carried out.
10. Photocopying is available in
the Library. Students will be
billed for photocopies by the
Bursars Office.
11. Semester V and Clinical Science students will have full
access to online journals
through the library website,
which will be essentially
through their AUAMED.NET
e-mail ID. Clinical Science
students do have access to
important online journals such
as UpToDate.

BOOKSTORE
All the required textbooks for the
Basic Sciences courses, selected
recommended books, and diagnostic equipment are available at
the Bookstore at a very competitive
price.
The Bookstore is kept open Monday-Friday from 10 AM until 3 PM
with a one-hour lunch break from
12:30 to 1:30 PM.

CAMPUS HOUSING
All rules for individual properties
must be obeyed in conjunction with
the following:
1. Campus Housing is solely
to accommodate the person
named on the lease.
2. St The cost of the housing is not
refundable except at the Universitys absolute discretion.
3. The University has a zero-tolerance policy regarding the
use of illegal substances in
student housing. This policy applies throughout Antigua
and includes the use of alcohol
in violation of local law.
4. Smoking is prohibited inside
all University-sponsored housing. Please note that the housing units of Mandalay and Sugar Mill are 100% non-smoking
areas.
5. Pets are prohibited inside University-sponsored housing.
6. Students are responsible for
cleaning their own dishes,
pots, pans and stoves, and for
the daily removal of all garbage
from apartments to the outside

bins.
7. Students are responsible for
the proper care and treatment
of housing quarters and contents, to include equipment
and furniture.
8. Students are prohibited from
painting walls, affixing nails or
screws, or making holes in the
walls of housing units.
9. Any damage to the surface or
paint caused by the removal of
posters or pictures will be repaired at the students cost.
10. At the end of each semester, the
University conducts housing
inspections. As per the lease,
rooms are relinquished in the
same condition as assigned;
thus, the students account will
be charged if additional cleaning is required. In the case of
damage to the room, the students account will be charged
the cost of repair or replacement.
11. At the end of each semester, students must vacate the
rooms and surrender both the
keys with their original tags
and key rings. Failure to do so
results in a $250 USD fine.

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the library.

Failure to comply with any rule may


result in a students permanent
removal from University-sponsored
housing and forfeit of the security
deposit.
QUIET HOURS IN DORMS
Sunday to Thursday 10pm to 6am
Friday and Saturday Midnight to
6am

LOCK-OUTS AND LOST KEYS


The solution to and charges for
these situations vary with each of
the facilities. Please consult your
RA or the Student Services Office for
details. Notice of charges will be in
each welcome packet.

CAMPUS TRANSPORTATION
In conjunction with an independent
bus company, the University is able
to provide, at a reduced rate, transportation for students to and from
University-sponsored housing locations and the campus. This service
is available to students residing in
University-sponsored housing only.

92 | AUA - August 2014

Students can purchase Transportation Passes for a semesters duration. Once purchased, bus transportation is neither refundable nor
pro-ratable. Students are advised
to purchase a 10-trip bus pass from
the Bursars Office if they are uncertain about commuting for a semester and wish to try the system for
themselves, or for students who are
interested in limited transportation
service, the University offers a Bus
Trip Pass at reasonable rates.
Contact the Bursars Office for
questions and purchase of Transportation Passes.

CAMPUS PARKING GUIDELINES


All AUA community members (students, faculty, and staff) are required to observe all posted signs
and the instructions of security
guards. Verbal instructions of security guards supersede all posted
signs. Failure to recognize the authority vested in the security guards
is an offense.
All vehicles using AUA grounds
must be registered with the school.
Students register vehicles with
Student Services; faculty and staff
register vehicles with the Administrators Office.

AUA assumes no responsibility or


liability for any loss or damage to
vehicles parked on its campus.
Parking regulations are detailed
below for students, faculty, staff and
campus visitors, who are required
to comply with the Universitys policies.
Any vehicle, including rentals,
parked on any campus without
a current, visible permit, will be
towed, and/or ticketed, or have a
windshield annoyance sticker affixed.
If a vehicle is sold or no longer in
use, the permit holder must remove
the permit and return it to the University. Any violations issued to the
vehicle will be the responsibility of
the original permit holder.

PARKING PERMITS:
Parking permits are available for
purchase to students with valid Antigua and Barbuda drivers licenses
and vehicle information. Please see
the Bursar to purchase a parking
permit.
A new permit is required for each
semester.

STUDENT PARKING:

Students are allowed to park in


designated faculty spots (but not on
those that are reserved with name
tags) on weekdays after 6 pm only
and also throughout the weekend.

VISITOR PARKING:
Students are not allowed to park in
designated visitor spots.
Visitors must present their drivers
license to be held by the security
guards at the designated security
stall. The security guard will record
the plate identification numbers/letters and issue to the visitor a Visitor
Parking Pass which must be prominently displayed on the vehicle while
parked on campus.
The visitor is required to return the
pass to the security guard. Upon
surrendering the pass, the visitors
drivers license will be returned accordingly.

ENFORCEMENT POLICY:
Security guards are empowered to
enforce the Universitys rules and
regulations.
Tickets are issued by security when
rules and regulations are broken.
Once a ticket is written, a guard

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12. AUA assumes no responsibility


or liability for any loss or damage to personal property in
University-sponsored housing.

Security guards are under specific


instructions not to speak to anyone
while in the process of writing a
ticket.
Insulting a guard while s/he is performing his/her duties is unacceptable behavior and may result in
further action and charges against
the community member.
Anyone charged with behavior disobedience to authority will be automatically referred to the Grievance
and Professional Standards Committee.
Any flagrant offense, multiple offenses, and/or three or more violations of the same offense in a
semester will result in an automatic
referral to the Grievance and Professional Standards committee.

CAMPUS RECREATION
The primary function of the gym,
tennis courts, sports field, volley
ball court, and basketball court is to
serve the recreational, educational,
wellness, and athletic needs of AUA
students, faculty, staff, spouses, and
families. The following rules apply:
94 | AUA - August 2014

1. All guests must have a Visitors


ID. Guests using the recreational facilities may NOT access other AUA campus buildings.
2. Individual patrons shall utilize all recreational facilities at
their own risk.
3. Follow proper court etiquette at
all times (no swearing, throwing sports equipment, etc.). Be
considerate of players on the
adjoining court.

OMBUDSMAN
The Ombudsman is responsible for
addressing and satisfying students
concerns. This individual serves as
the primary confidential resource
to investigate complaints/issues
and present recommendations to
the President and Executive Deans.
Responsibilities include crisis inter-

vention, conflict resolution, and crisis management. He/she will then


work with various departments to
reach a solution and suggest changes to policy where appropriate that
contribute to student complaints.
The Ombudsman can be reached at
212-661-8899 ext. 136.

4. No food, drink (except for water


in closed containers), or chewing gum is permitted. Players
are encouraged to keep the
courts and surrounding areas
clean.
5. Appropriate athletic footwear
is required. Shoes that leave
black marks on the courts are
prohibited.
6. Proper athletic attire, including
a shirt is required at all times.
7. Alcoholic beverages are NOT
permitted anywhere on AUA
property.

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is not permitted to void, erase or


destroy the summons. It must be
complied.

GENERAL &
MISCELLANEOUS
INFORMATION

96 | AUA - August 2014

AUA - August 2014 | 97

HOLIDAYS AND WEEKENDS

The official holidays of the nation


hosting the campus are the only
holidays that may be recognized.
Excellence in education is part of
the mission of AUA. Both formal (for
example, examinations) and informal academic activities may also be
held on weekends and holidays.

HANDICAPPED ACCESS
The island of Antigua does not provide special accommodations for
handicapped or disabled individuals.
However, AUA provides limited accommodations such as, an elevator
and ramp access.

STUDENT GOVERNMENT
ASSOCIATION
The Student Government Association (SGA) meets regularly to review
matters of concern to the student
body. The SGA also organizes social,
athletic, and community outreach
events.
Officers and class representatives
are elected each semester by the
student body; they must be full-time
students in good academic standing.
Dues are collected each semester.
98 | AUA - August 2014

LICENSED AUA MEDICAL


FACULTY
Several AUA faculty members are
licensed medical practitioners in
Antigua. An individual faculty members private practice is separate
and apart from their positions at
AUA.

HEALTH INSURANCE
POLICY
All AUA students are required to
have health insurance coverage.
Students who do not have private insurance coverage through a parent,
employer, spouse, domestic partner
or through their own individual plan
are required to be enrolled in the
Universitys Student Health Insurance Plan. All students will be automatically enrolled in and charged
for insurance. However, students
may waive the Universitys insurance by providing documentation of
private insurance to the Bursars
Office.

BASIC LIFE SUPPORT/


ADVANCED CARDIAC LIFE
SUPPORT CERTIFICATION
BASIC LIFE SUPPORT
Basic Life Support (BLS) is the
phase of emergency cardiac care
that:
1.

2.

Prevents circulatory or respiratory arrest or insufficiency


through prompt recognition
and intervention; or
Externally supports the circulation and respiration of a
victim of cardiac or respiratory
arrest through cardiopulmonary resuscitation (CPR).

The BLS course at the AUA is conducted in accordance with the


guidelines of the American Heart
Association. A practical evaluation
is done to determine proficiency of
manikin performance. Successful
completion of performance evaluations and a written test score of 84%
or above are required to complete
the course.
CONTENT
Included in this course are the techniques of:
Adult CPR 1 & 2 rescuer

Adult obstructed airway conscious

and unconscious
Infant CPR 1 & 2 rescuer
Infant obstructed airway conscious
and unconscious
Child CPR 1 & 2 rescuer
Child obstructed airway conscious
and unconscious
Safe operation of an Automated External Defibrillator (AED)
WRITTEN STATEMENT
OF COMPLETION
Upon successful completion of the
4 5 hour course, each participant
receives and American Heart Association card. This will reflect successful completion of cognitive and
performance evaluations related
to the material presented in accordance with the established criteria
of the American Heart Association.
ADVANCED CARDIAC
LIFE SUPPORT
Through the American Heart Associations Advanced Cardiovascular
Life Support (ACLS) course, students
will develop or enhance the skills
needed for the treatment of the adult
victim of a cardiac arrest or respiratory emergency. ACLS emphasizes
the importance of basic life support
to patient survival; the integration of
AUA - August 2014 | 99

GENERAL & MISCELLANEOUS INFORMATION

GENERAL & MISCELLANEOUS INFORMATION

AUA is a non-sectarian secular institution.

For general information about


SGA and other AUA student organizations, please visit http://www.
theauasga.org.

ACLS is based on simulated clinical scenarios that encourage active, hands-on participation through
learning stations where students will
practice essential skills individually,
as part of a team, and as team leader.
Realistic simulations reinforce the
following key concepts: proficiency
in basic life support care; recognizing and initiating early management
of peri-arrest conditions; managing
cardiac arrest; identifying and treating ischemic chest pain and acute
coronary syndromes; recognizing
other life-threatening clinical situations (such as stroke) and providing
initial care; ACLS algorithms; and effective resuscitation team dynamics.
Successful completion of performance evaluations based on resuscitation team concepts and a written
test score of 84% or above is required
to complete the course. Upon completion of the course, the participant
will have been taught to demonstrate
proficiencies related to the following:
1. Utilizing adjunct airway equipment to establish and maintain effective ventilation in an
adult victim.

100 | AUA - August 2014

tain effective ventilation in an


adult victim.
2. Be able to integrate electrocardiograph monitoring, defibrillation, and pacing equipment
and/or techniques into the
adult resuscitation process.
3. Be able to identify and determine the need for treatment
related to basic adult cardiac
dysrhythmias.
4. Know to establish and maintain intravenous access during
an adult resuscitation.
5. Be able to recognize early signs
& symptoms of myocardial infarction and cerebral vascular
accident.
6. Be able to determine the treatments necessary to preserve
myocardial and cardiovascular
tissue.
7. Be able to assume the team
leader role for emergency
treatment of cardiovascular
and/or respiratory compromise/arrest during a portion of
a simulated code.
8. Be able to review therapy related he post resuscitation of a

cardiovascular arrest.
Each participant that successfully
completes the 12 to 15 hour course
receives an American Heart Association certification card. The card
serves as recognition of successful completion of an instructional
course which includes cognitive and
performance evaluations related
to the material presented in accordance with the established criteria of
the American Heart Association.

HEALTH POLICY FOR


MEDICAL STUDENTS:
EXPOSURE TO INFECTIOUS
& ENVIRONMENTAL
HAZARDS POLICY
PRE-ENROLLMENT
REQUIREMENTS
All AUA students are required to
submit a completed AUA Physical
and Immunization Form prior to their
first day of enrollment as well as prior to starting their clinical rotations.
It must be completed by the student
and a health care practitioner and
must be signed and dated by both.
Copies of these forms are kept in the
AUA New York Office.
Each subsequent year of enrollment
on AUA campus in Antigua, all AUA
students are required to have a PPD

update. These may be done at Student Health Center on campus.


It is important to note that some clinical affiliates and elective sites have
health policy requirements in addition to those required by AUA College of Medicine. Students will be informed of these policies, and where
possible, AUA will expedite the process for student compliance. It is,
however, the students responsibility
to maintain compliance with additional health requirements.

EXPOSURE TO INFECTIOUS
AND ENVIRONMENTAL
HAZARDS POLICY
BASIC SCIENCE
An infection control protocol will be
reviewed with students who are in
the pre-clinical years at AUA during
a compulsory orientation session
at the start of term. A copy of the
protocol is available on BlackBoard
under the Hospital and Clinics tab.
Student status: Observer (not allowed any contact with body fluids).
In the event of exposure to blood,
body fluids or needle sticks:
Wash the affected area immediately with soap and water.
Mucous membranes should
be flushed with large amounts
of water; if the eyes have been

AUA - August 2014 | 101

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GENERAL & MISCELLANEOUS INFORMATION

effective basic life support with advanced cardiovascular life support


interventions; and the importance of
effective team interaction and communication during resuscitation.

exposed keep open and rinse


gently but thoroughly with water or normal saline.

Students are also required to have


the following certifications.
1.

Remove contaminated clothing


if possible.
Immediately report any exposure to nurse or doctor in
charge of the rotation.

ams.com. See discount for


OSHA, HIPAA and ICC certificates, for AUA students at: *
http://www.mymedcerts.com/
aua/.

Document the incident and include: date, time and type of


exposure, including:
How the incident occurred,
and

2.

Name of the source if


known
Mandatory reporting of the incident to the Student Health
Center. Fill out incident report
form upon arrival at AUA.
CLINICAL SCIENCE
Students are required to have a
completed AUA Physical and Immunization Form prior to starting their
clinical rotations. Some of our clinical affiliates may have additional
health requirements, exceeding AUA
requirements. The clinical affiliate
requirements must be met before
you can begin any clinical rotations
or electives at that site. Please see
further information in BlackBoard
under the Hospitals and Clinics tab.
102 | AUA - August 2014

HIPAA Certification (requires


annual renewal)
HIPPA Certification service
can be found at the following
sites:*icpri.com, *ceufast.com,
*mymedcerts.com, *hipaaex-

3.

OSHABlood Borne Pathogens Certificate (requires


annual renewal)
OSHA Certification services
can be found at the following
sites: *icpri.com, *ceufast.
com, *mymedcerts.com. See
discount for OSHA, HIPAA
and ICC certificates, for AUA
students at: * http://www.
mymedcerts.com/aua/.
Infection Control Certification
(ICC) ( valid for four (4) years)
ICC services can be found on
*proceo.com or go to NYS
website: *http://www.op.
nysed.gov/training/icproviders.
html#/. Scroll to the bottom of
page to Non-Profession Specific Forms. See discount for
OSHA, HIPAA and ICC

certificates, for AUA students


at: * http://www.mymedcerts.
com/aua/.
Contact with patients is an integral
part of the medical education. Contact with patients may entail exposure to hazards, including exposure
to patients with contagious diseases
that can be transmitted to students
and other health-care providers by
way of airborne droplets or needle-puncture wounds involving
infected body fluids. Examples of
these diseases include tuberculosis,
hepatitis B, hepatitis C and AIDS.
Although the risk of contracting serious illness from these hazards is
very small, AUA seeks to reduce incidents of students exposure to infectious diseases and environmental
hazards. Students are required to
obtain the hepatitis B vaccine prior
to enrollment into medical school.
They also receive skin tests for tuberculosis intermittently throughout
medical school.

DEFINITIONS RELATED TO
EXPOSURE TRAINING
(from http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_
table=standards&p_id=10051)

Standard (Universal) Precautions:


is an approach to infection control.
According to the concept of Univer-

sal Precautions, all human blood


and certain human body fluids are
treated as if known to be infectious
for human immunodeficiency virus
(HIV), hepatitis B virus (HBV), and
other blood borne pathogens.
Blood Borne Pathogens (BBP):
pathogenic microorganisms that
are present in human blood and can
cause disease in humans. These
pathogens include, but are not limited to, HBV and HIV.

Contaminated sharps: any contaminated object that can penetrate


the skin including, but not limited
to, needles, scalpels, broken glass,
broken capillary tubes, and exposed
ends of dental wires.
Workplace and engineering controls: controls (e.g., sharps disposal
containers, self-sheathing needles, safer medical devices, such
as sharps with engineered sharps
injury protections and needleless
systems) that isolate or remove the
blood borne pathogens hazard from
the workplace.
Other potentially infectious materials: (1) The following human body fluids: semen, vaginal secretions, cerebrospinal fluid, synovial fluid, pleural
fluid, pericardial fluid, peritoneal
fluid, amniotic fluid, saliva in dental
procedures, any body fluid that is visibly contaminated with blood, and all
AUA - August 2014 | 103

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GENERAL & MISCELLANEOUS INFORMATION

GENERAL & MISCELLANEOUS INFORMATION

BLOOD BORNE PATHOGEN


EXPOSURE
Policies and procedures concerning blood borne pathogen exposures
and exposures to communicable
diseases (e.g., tuberculosis, chicken
pox) are in place at each of the major clinical teaching facilities. During
orientation programs an overview of
procedures is presented. Familiarize
yourself with the policies and procedures of each clinical facility and
carefully comply with all requirements in case you are injured or exposed to a communicable disease.
All needle sticks and other exposures to blood or other potentially infectious body fluids should be immediately reported to your supervisor
and to the designated contact at the
facility where the incident occurs.
104 | AUA - August 2014

ROUTES OF TRANSMISSION

RISK AWARENESS

BBPs can enter the body via needle


stick, cuts with contaminated instruments or glass, or through abraded
skin. They can also enter if a splash
occurs on the eyes, nose or mouth.

Remember: The greater the inoculums, the greater the risk.

Some important things to remember


about exposures:
Needle size: Larger-gauge
needles are riskier than
smaller gauge needles.
Needle type: Hollow-bore
needles are riskier than solid
suture needles.
Needles with a syringe of fluid
attached are more risky than
needles alone.
The following sequence outlines the
likelihood of infection: Deep puncture with fluid injection deep
puncture without fluid superficial
puncture superficial scratch with
bleeding mucous membrane exposure non-intact skin exposure
aerosol of blood.

TYPES OF BODY FLUID


Blood is the riskiest body fluid.
Bloody body fluids are riskier than
body fluids without blood.

HUMAN IMMUNODEFICIENCY
VIRUS (HIV)
(http://www.doh.state.fl.us/disease_
ctrl/aids/updates/facts/usfl.html)
The amount of circulating virus
in patient blood is highest when
the patient has advanced AIDS
and/or is experiencing acute
anti-retroviral syndrome.
Almost all seroconversions
(presence of HIV antibody in the
blood) occur when the patient
is symptomatic with a high viral
load or has advanced AIDS
Florida has the second highest
number of adult AIDS cases in
the US and the second highest
number of pediatric AIDS cases.
http://kff.org/hivaids/fact-sheet/
the-hivaids-epidemic-in-theunited-states/
In 2011, the South accounted for
about half (48%) of HIV diagnoses.
Through December 2001, the
CDC received voluntary reports
of 57 documented cases of HIV
transmission to healthcare

personnel in the United States


http://www.cdc.gov/hiv/resources/factsheets/PDF/hcw.pdf
The risk of acquiring HIV, if a
positive source patient has HIV
and the exposed person does
not, is 0.3%, i.e., 3 chances in a
100.
Highly active antiretroviral therapy (HAART) can be utilized
within 1-2 hours post exposure.

HEPATITIS B VIRUS (HBV)


(http://www.cdc.gov/hepatitis/HBV/
HBVfaq.htm)
An estimated 800,000 1.4
million persons in the United
States have chronic HBV infection.
Healthcare personnel who have
received hepatitis B vaccine and
developed immunity to the virus
are at virtually no risk for infection.
For a susceptible person, the
risks from a single needle stick
or cut exposure to HBV-infected
blood ranges from 6-30% and
depends on the Hepatitis Be
antigen (HBeAg) status of the
source individual.

AUA - August 2014 | 105

GENERAL & MISCELLANEOUS INFORMATION

body fluids in situations where it is


difficult or impossible to differentiate
between body fluids; (2) Any unfixed
tissue or organ (other than intact
skin) from a human (living or dead);
and (3) HIV-containing cell or tissue
cultures, organ cultures, and HIV- or
HBV-containing culture medium or
other solutions; and blood, organs,
or other tissues from experimental
animals infected with HIV or HBV.

HEPATITIS C VIRUS (HCV)


(http://www.cdc.gov/hepatitis/HCV/
HCVfaq.htm)
There are now over 3 million
cases of HCV in the US; it is the
most common chronic blood
borne infection in the United
States.
Highest prevalence groups
include IV drug users, chronic hemodialysis patients, and
recipients of clotting factor
concentrates made before 1987
(when more advanced methods
for manufacturing those products were developed).
After infection, HCV may be
clinically silent for years. After
infection, 85% develop chronic
Hepatitis C.
Chronic HCV infection is the
leading indication for liver
transplants in the United States.
Treatment is difficult to tolerate.
There is no preventive vaccine

106 | AUA - August 2014

and no post-exposure prophylaxis.


The risk of acquiring HCV, if a
source patient has HCV and the
exposed person does not, is
approximately 1.8%.
WORK PRACTICE AND
ENGINEERING CONTROLS

SHARPS CONTAINERS
Place all needles, syringes,
sharps, broken or unbroken
glass and plastic ware in red
sharps containers.
Label sharps container with
biohazard symbol and users
address.
Seal containers when three
quarters full.

DOUBLE CORRUGATED BOXES OR


LARGE SHARPS CONTAINERS
Are available for large contaminated objects such as suction
liners.

blunted suture needles, retractable phlebotomy needles, needle-free IV systems, etc.


These devices are to be evaluated and implemented, as appropriate, by each departmental
area.
Documentation of the evaluation and rationale for usage
or non-usage of devices is required.
PERSONAL PROTECTIVE
EQUIPMENT

GLOVES
Are indicated when touching
blood, bloody body fluids, and
items or surfaces soiled with
blood or body fluids.
Inspect gloves frequently for
holes, tears or deterioration.
Double gloving decreases the
chances of inoculation by 50%.
Do not wash or reuse gloves.

Must be labeled with biohazard


symbol and address.

SAFER MEDICAL DEVICES


Include retractable scalpel
blades, needles with attached
safety devices,

Wash hands after removing


gloves.

es are anticipated.
Goggles must have side protectors to prevent eye splashes.

GOWNS/LAB COATS/APRONS
Are indicated when direct contact with potentially infectious
material is likely.
Should be removed when leaving patient room/work area.

MASKS
Are indicated when droplets or
airborne transmission is likely.
The N-95 disposable respirator
mask is preferable.

HAND-WASHING
Wash for 10 seconds with friction and lather if hands are
visibly soiled.
Wash after removing gloves
and when leaving work area.
Alcohol gel is an acceptable
alternative to soap and water if
hands are not visibly soiled.

FACE SHIELDS/GOGGLES
Indicated when droplets or
splashes to mucous membran-

AUA - August 2014 | 107

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GENERAL & MISCELLANEOUS INFORMATION

HBV can survive outside the


body at least seven days and
still be capable of causing infection.

IMMEDIATE PROCEDURE
Remove blood borne pathogen.
Sharps exposure wash with
soap and water. Students
SHOULD NOT squeeze the affected area.
Mucous membrane exposure
flush with copious amounts of
water.
Report exposure to immediate
supervisor.
Report within 1-2 hours of exposure to the appropriate individual or office, based on clinical
setting as below:
The evaluating physician
shall determine the risk of
transmission, prophylaxis recommendations and indicated
follow-up.
Prophylaxis for Hepatitis B
may be indicated, dependent
on the status of the patient,
the exposure and immunity of
the student. When an exposed
student is known to be immu-

108 | AUA - August 2014

ne to Hepatitis B, no prophylaxis or testing of the patient


is needed. If a student is
unsure of his or her status,
laboratory testing can be
performed to assess both the
patient and students status.
If the student is not immune
and the patient is positive for
Hepatitis B, then the student
should receive immune globulin and Hepatitis B vaccine series. Follow-up testing should
be performed at six months to
verify the students Hepatitis
B status.
When HIV post-exposure prophylaxis is indicated, the most
current antiretroviral medication(s) as outlined by the CDC
will be employed. Follow-up HIV
studies will be recommended
at 6 weeks, 12 weeks, 6 months
and 12 months.
Source patients should also be
tested for Hepatitis C. Exposed
students should receive follow-up testing for this virus as
outlined by the CDC.

GENERAL PROCEDURES - SEE


BELOW FOR INFORMATION BY
CLINICAL SITE.

Hospital setting during regular


business hours
Contact clerkship, module, elective or selective director.
Inform resident or attending
physician.
Report to Occupational Health
in the hospital. Designations
and follow up of exposures may
be handled by different departments in affiliated facilities. In
some cases, emergency room
physicians may handle exposures. The director of nursing
services or nursing supervisor
on duty may be the first line of
contact.

Hospital setting during non-regular hours and holidays


Report exposure to resident and
attending physician-follow their
advice on obtaining treatment.
Seek assistance from clinic or
facility emergency room physicians if resident and attending
physician are not immediately
available. The director of

nursing services on duty may be


the first line of contact during
non-regular hours.

Other setting during regular and


non-regular business hours and
holidays
If HIV status of source is unknown, whenever possible rapid
HIV testing will be performed on
source.
If exposure occurs during Student Health Center hours of
operation and source HIV status
is unknown, student will call to
speak with the medical director
or his or her designee.
If exposure occurs outside of
Antigua or after Health Service
hours of operation, or source
is known HIV positive, student
will proceed to nearest hospital emergency department for
evaluation and treatment as
deemed necessary.
The students clinical instructor
and the student will report the
exposure to the College of Medicine Office of Student Affairs.

AUA - August 2014 | 109

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GENERAL & MISCELLANEOUS INFORMATION

EXPOSURE AND POSTEXPOSURE PROPHYLAXIS

GENERAL & MISCELLANEOUS INFORMATION

The incident, including the


names of all contact points, will
be documented by the Office of
Student Affairs.
Students who have been exposed to
a blood borne pathogen must complete an incident report. If exposed
while training at AUA, go to AUA
Student Health for evaluation and
counseling. If the exposure occurs
anytime at our affiliates, students
should report to the Emergency
Department of that hospital. There
may be some differences in the
procedures after exposures to blood
borne pathogens at clinical training
sites and students rotating at away
sites should find out the proper procedures when beginning a rotation.
All affiliates are required to provide emergency care. In the event
of non-blood borne exposure, you
should see your primary care practitioner on an acute visit basis.
HEALTH INSURANCE POLICY
All AUA students are required to
have health insurance coverage.
Students who do not have private insurance coverage through a parent,
employer, spouse, domestic partner
or through their own individual plan
are required to be enrolled in the
universitys Student Health Insurance Plan. All students will be automatically enrolled in and charged
110 | AUA - August 2014

for insurance. However, students


may waive the universitys insurance by providing documentation of
private insurance to the Bursars
Office.
DISEASE SURVEILLANCE AND
IMMUNIZATION REQUIREMENTS
AUA Student Health can perform
immunizations needed to meet the
schools requirements.
Students needing immunizations or
Tuberculin tests may make an appointment to do so. Tuberculin tests
must be read in 48-72 hours. Because of the restricted time needed
to read the test results, students
should consider holidays falling on
Mondays and Fridays when making
appointments.

TUBERCULIN TESTING
The school of medicine requires annual tuberculin (intradermal) testing
for actively enrolled students. All
students, including those who have
received BCG vaccine, must have a
documented intradermal tuberculin test unless a previously positive
reaction can be documented, or unless completion of adequate preventive therapy or adequate therapy for
active disease can be documented.
AUA Student Health can place, read
and document test results. Plans
for the evaluation and management
of medical students with positive

tests or of those whose tests become positive during medical school


will be made as needed. Students
who are not in compliance will be
barred from participation in clinical
activities regardless of the clinical site. Should a student develop
symptoms suggestive of tuberculosis, a chest radiograph will be required before the student is allowed
to resume clinical activities.

MICRO-PARTICULATE
RESPIRATORS
Because of the increasing prevalence of tuberculosis and the appearance of multiple drug resistant
strains, some of the hospitals and
sites where students train require
that the student be fitted for a micro
particulate respirator (HEPA). At this
time, these masks are not required
at all clinical sites.
IMMUNIZATIONS
HEPATITIS B
All medical students are required to
have been immunized against Hepatitis B and provide serologic proof of
immunity (titer). Hepatitis B immunization consists of a series of three
vaccines that should be completed
prior to or as soon as possible after
matriculation to ensure safety at
the time of patient contact. Students
who are not in compliance with this
requirement will be barred from
participation in clinical activities.

RUBELLA
Rubella immunity via history of
disease or documented vaccine;
AND serologic titer is required of all
students.
RUBEOLA
Rubeola immunization is required
for all students born after 1957. Students must provide physician documentation of a history of the disease
or receipt of two doses of the vaccine; AND serologic titer.
MUMPS
Students must provide physician
documentation of a history of the
disease or a receipt of the vaccine;
AND serologic titer.
POLIO, TETANUS, DIPHTHERIA
Documented proof of immunization
against polio, diphtheria and tetanus
is required of all students. Tetanus
immunization must be within ten
years.
VARICELLA
Students with a history of varicella
should provide documentation. Students without a history of the disease must have a titer for varicella
antibody determined. Students with
a negative titer are required to have
varicella immunization.

AUA - August 2014 | 111

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